Performance Physical Therapy of Stafford, LLC

NPI #1083928949 in Stafford, Virginia

Provider Information

NPI Number: 1083928949
Entity Type: Organization
Organization Name: Performance Physical Therapy of Stafford, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 3, 2010
Last Updated: Sep 17, 2014

Practice Location

Address: 2777 JEFFERSON DAVIS HWY
Address 2: 109
City: Stafford
State: Virginia
ZIP Code: 22554-8323
Phone: (540) 318-8615

Authorized Official

Name: DR. LATASHA R BLANTON, DPT
Title: OWNER
Phone: (540) 327-1740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Geriatrics — Geriatrics	2251G0304X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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