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Contact Information

ACTIV REHAB AND WELLNESS
3773 RICHMOND AVE
SUITE 540
HOUSTON, TX77046-3703
 Phone: 832-263-3210
 Fax: 844-965-9064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIV REHAB AND WELLNESS · (Female)

NPI # 1679007975
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2017
Last updated 04/13/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 12269
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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