Organization
ACTIVE LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LON E NEBIOLINI (CEO)
(540) 364-3411
Entity
Organization
Contact information
Practice address
113-4 FOUNDERS WAY, STRASBURG, VA 22657-3769
(540) 364-3411
Mailing address
10426 COBBLER VALLEY LN, DELAPLANE, VA 20144-2020
(540) 364-3411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
05/28/2009
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