NPI 1104425529

Active Life Health of Columbia, LLC

Organisation Physical Medicine & Rehabilitation Physician Columbia, SC

Practice location

Address: 2000 Center Point Rd STE 2360, Columbia, SC 29210-5826
Phone: (803) 233-5500

Authorised official

Name: John J Rush
Title: Chairman & Chief Executive Officer
Phone: (803) 233-5500

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in South Carolina →

Registry record

NPI: 1104425529
Entity type: Organization
NPI issued: 19 Oct 2020
Record last updated: 19 Oct 2020

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.