Organization
ACTIVE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH RIMANN (INITIAL REGISTERED AGENT)
(505) 982-5868
Entity
Organization
Contact information
Practice address
1704 LENA ST STE A1, SANTA FE, NM 87505-2002
(505) 982-5868
Mailing address
1704 LENA ST STE A1, SANTA FE, NM 87505-2002
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
09/08/2013
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