Active Life & Sports Therapy Llc

LBN: Active Life & Sports Therapy Llc
Active Life & Sports Therapy Llc is an health care organization with primary practice located at 4337 Ebenezer Rd , Nottingham MD 21236-2143. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Active Life & Sports Therapy Llc can be contacted via phone (410) 529-3303, or through Wah, Michael David via phone (410) 529-3303.

Contact Information

Primary practice address
4337 Ebenezer Rd Nottingham MD 21236-2143
Phone: (410) 529-3303
Fax: (410) 529-7980
Website:
Map and Directions
Authorized official contact:
Name: Wah, Michael David Physical Therapist (PT)
Phone: (410) 529-3303

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15366 Maryland

Profile Details

NPI number 1396836052
LBN Legal business name Active Life & Sports Therapy Llc
DBA Doing business as
Authorized official Wah, Michael David Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 12th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396836052 NPPES
Maryland Other 6400507 AARP
Maryland Other KCH3AC AARP
Maryland Other DA1789 AARP
Maryland Other F517 AARP
Maryland Other 434M AARP

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