Performance Pt LLC
NPI #1003196213 in Wayne, New Jersey
Provider Information
- NPI Number
- 1003196213
- Entity Type
- Organization
- Organization Name
- Performance Pt LLC
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Aug 18, 2011
- Last Updated
- Aug 18, 2011
Practice Location
- Address
- 15 CORPORATE DR STE 6
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-3120
- Phone
- (973) 368-4907
Authorized Official
- Name
- BRAD SAMPLES, DPT
- Title
- OWNER
- Phone
- (973) 368-4907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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