Performance Physical Therapy and Sports Rehab Inc.

NPI #1215333554 in Bangor, Maine

Provider Information

NPI Number
1215333554
Entity Type
Organization
Organization Name
Performance Physical Therapy and Sports Rehab Inc.
Primary Specialty
Physical Therapist
Enumeration Date
Nov 14, 2014
Last Updated
Nov 14, 2014

Practice Location

Address
277 STATE ST
Address 2
SUITE 1B
City
Bangor
State
Maine
ZIP Code
04401-5439
Phone
(207) 356-9810

Authorized Official

Name
BRADLEY LAWRENCE LIBBY, PT, DPT
Title
CEO/PHYSICAL THERAPIST
Phone
(207) 356-9810

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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