Active 4 Life, PLLC
Physical Therapist in Sarasota, FL. Organization (NPI-2).
NPI number1902392988
StatusActive
Last updated in NPPESJan 20, 2025
Details
- NPI
- 1902392988
- Entity type
- Organization (NPI-2)
- Legal business name
- Active 4 Life, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2018
- Certification date
- Jan 20, 2025
- Last updated
- Jan 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
2141 Siesta DrSarasota, FL 34239-5235
Phone 941-312-1591 · Fax 941-343-3196
Mailing address
2141 Siesta DrSarasota, FL 34239-5235
Phone 941-312-1591 · Fax 941-343-3196
Authorized official
Jennifer Regar
Owner
9413121591
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