Organization
ACTIVE RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LONGORIA PT, DPT, FAAOMPT (OWNER/PHYSICAL THERAPIST)
(512) 387-1539
Entity
Organization
Contact information
Practice address
12700 LOWDEN LN UNIT 4, MANCHACA, TX 78652-3605
(512) 387-1539
Mailing address
12700 LOWDEN LN UNIT 4, MANCHACA, TX 78652-3605
(512) 387-1539
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
01/06/2025
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