| Organization Name: | ACTIVE CARE SPINE AND SPORTS REHAB LLC |
| NPI Number: | 1780626440 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RIK COUWENBERG (OWNER/MANAGING DIRECTOR/PT) |
| Mailing Address: | 600 Mount Pleasant Avenue Suite F Dover |
| State: | NJ US |
| Postal Code: | 07801 |
| Phone Number: | 9738911080 |
| Fax Number: | 9738911081 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 06/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |