Organization · Type 2 NPI

Proactive Physical and Aquatic

Specialist · Scottsdale, AZ

NPI number 1912067976 Active

Practice location

9746 N 90th Pl, Suite 103
Scottsdale, AZ 85258-5083

Call (480) 443-3534 Map

Fax (480) 367-9515

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0087104 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912067976

Proactive Physical and Aquatic's National Provider Identifier is 1912067976, issued on Dec 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Scottsdale, AZ. The record was last updated on Apr 12, 2011.