| Organization Name: | PROACTIVE PLUS PHYSICAL THERAPY PLC |
| NPI Number: | 1306030663 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRAMOD KUMAR SINGH (PHYSICAL THERAPIST/OWNER) |
| Mailing Address: | 4079 W Marl Lk Rd Roscommon |
| State: | MI US |
| Postal Code: | 486539282 |
| Phone Number: | 9898216363 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2007 |
| NPI Last Update Date: | 08/30/2007 |
| 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: | |