NPI 1023476173

Active Outpatient Therapy LLC

Organisation Physical Therapy Clinic/Center Madison Heights, MI

Practice location

Address: 520 E 12 Mile Rd Suite - B, Madison Heights, MI 48071-2517
Phone: (248) 952-9052

Authorised official

Name: Starvos Toma
Title: President
Phone: (248) 952-9052

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1023476173
Entity type: Organization
NPI issued: 4 Feb 2016
Record last updated: 4 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.