DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ACTIVE LIFE & SPORTS THERAPY LLC

Active Organization

ACTIVE LIFE & SPORTS THERAPY LLC is a Physical Therapy Assistant organization located in NOTTINGHAM, Maryland. NPI 1396836052 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NOTTINGHAM, MD

Registration Details

NPI Number
1396836052
Provider Type
Organization
NPI Issued
Sep 27, 2006 (19.888237436094 yrs)
Last Updated
Jan 12, 2009
License
15366 (MD)

Practice Information

Address
4337 EBENEZER RD
NOTTINGHAM, MD, 212362143
Browse MD providers · Browse ZIP 21236
Phone
4105293303
Fax
4105297980
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.