OrganizationActive
Active for Life LLC
NPI 1437649183 · Pediatric Physical Therapist · Somerville, NJ
Provider details
- NPI number
- 1437649183
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Kerri O'Connor, Doctor
- License
- 46TR00658900 (NJ)
Mailing address
20 W Spring St
Somerville, NJ 08876-1628
Registry dates
- Enumerated
- 2018-05-17
- Last updated
- 2018-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.