Organization
ACTIVELIFE FITNESS LLC ZOO HEALTH CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SAMANIEGO (OWNER)
(224) 368-7133
Entity
Organization
Contact information
Practice address
2513 N POWELL PKWY, ANNA, TX 75409-2632
(224) 368-7133
Mailing address
2513 N POWELL PKWY, ANNA, TX 75409-2632
(224) 368-7133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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