Organization
ACTIVE 4 LIFE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER REGAR PT (OWNER)
(941) 312-1591
Entity
Organization
Contact information
Practice address
2141 SIESTA DR, SARASOTA, FL 34239-5235
(941) 312-1591
(941) 343-3196
Mailing address
2141 SIESTA DR, SARASOTA, FL 34239-5235
(941) 312-1591
(941) 343-3196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
01/20/2025
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