| Organization Name: | ACTIVE SOLUTIONS PHYSICAL THERAPY, P.C. |
| NPI Number: | 1013940808 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLAF DEROOS (PRESIDENT) |
| Mailing Address: | 4150 Darley Ave Suite 8 Boulder |
| State: | CO US |
| Postal Code: | 803056557 |
| Phone Number: | 3034944100 |
| Fax Number: | 3034940212 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 01/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |