Performance Edge Sports, LLC

NPI #1437307485 in Colchester, Connecticut

Provider Information

NPI Number: 1437307485
Entity Type: Organization
Organization Name: Performance Edge Sports, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 3, 2008
Last Updated: Jun 7, 2013

Practice Location

Address: 7 PARK AVE
Address 2: SUITE 4
City: Colchester
State: Connecticut
ZIP Code: 06415-1128
Phone: (860) 531-3222

Authorized Official

Name: MR. ANTHONY J TODT, MSPT, CSCS
Title: OWNER
Phone: (860) 917-6536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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