Active Life Physical Therapy Center Inc

LBN: Active Life Physical Therapy Center Inc
Active Life Physical Therapy Center Inc is an health care organization with primary practice located at 616 Hemlock Street A, Brookings OR 97415-9412. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Active Life Physical Therapy Center Inc can be contacted via phone (541) 412-1155, or through Dodgen, Patrick W via phone (541) 412-3717.

Contact Information

Primary practice address
616 Hemlock Street A Brookings OR 97415-9412
Phone: (541) 412-1155
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dodgen, Patrick W Physical Therapist (PT)
Phone: (541) 412-3717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 3572 Oregon

Profile Details

NPI number 1962565291
LBN Legal business name Active Life Physical Therapy Center Inc
DBA Doing business as
Authorized official Dodgen, Patrick W Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 22nd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers