PRO ACTIVE ADVANTAGE, LLC
Psychologist - Rehabilitation
Active
Organization
NPI: 1124148176
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Rehabilitation | 103TR0400X | Yes | - |
Frequently Asked Questions
NPI 1124148176 is the National Provider Identifier for PRO ACTIVE ADVANTAGE, LLC, a Psychologist - Rehabilitation provider located in Burley, ID. This NPI was enumerated on March 30, 2007.
Quick Facts
- NPI
- 1124148176
- Type
- Organization
- Enumerated
- Mar 30, 2007
- Last Updated
- Sep 15, 2021
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