ACTIVE PERFORMANCE PHYSICAL THERAPY, PLLC
Physical Therapy at 210 St, Roselle, IA

License number
Iowa 004651
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: DR. CHRISTOPHER BRYAN STAUB DPT, MBA
Title: OWNER
Phone: (724) 986-0919
Address
Address
17396 210Th St, Roselle, IA 51401
National Provider ID: 1578859690
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACTIVE PERFORMANCE PHYSICAL THERAPY, PLLC

1205 Hwy 30 W SUITE A , Carroll, IA

Registration:
Jun 27, 2011
State ID:
419302
Business type:
DOMESTIC PROFESSIONAL LIMITED LIABILITY COMPANY
Expiration:
PERPETUAL
Agent:
Christopher B,17396 210 St, Carroll, IA (Physical)

Active Performance Physical Therapy, Pllc

17396 210 St, Roselle, IA 51401

Industry:
Specialty Outpatient Clinic
Dpt Mba , Member, Owner:
Christopher Staub (Dpt Mba , Member, Owner)

Physical Therapy licenses in Iowa







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