Organization
ACTIVE LIFE HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUGNESH PATEL (CEO)
(614) 619-9900
Entity
Organization
Contact information
Practice address
18A LINCOLN GDNS, LAKE HIAWATHA, NJ 07034-2406
(973) 339-3606
Mailing address
18A LINCOLN GDNS, LAKE HIAWATHA, NJ 07034-2406
(973) 339-3606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
03/30/2026
Last updated
05/19/2026
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