| Organization Name: | ACTIVE IN-HOME THERAPY |
| NPI Number: | 1073895884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELE LEDOUX HESSION (CO-FOUNDER) |
| Mailing Address: | 1111 Canada Rd Woodside |
| State: | CA US |
| Postal Code: | 940623508 |
| Phone Number: | 6505302072 |
| Fax Number: | 6508514681 |
| NPI Enumeration Date: | 09/16/2011 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |