Performance Physical Medicine
NPI #1578141818 in East Rutherford, New Jersey
Provider Information
- NPI Number
- 1578141818
- Entity Type
- Organization
- Organization Name
- Performance Physical Medicine
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 30, 2021
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 150 UNION AVE FL 2
- City
- East Rutherford
- State
- New Jersey
- ZIP Code
- 07073-1917
- Phone
- (201) 414-9545
Authorized Official
- Name
- DR. BRIAN MICHAEL WRAITH, DC
- Title
- PRESIDENT
- Phone
- (914) 661-8444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
| Physical Therapist |
| Massage Therapist |
| Chiropractor |
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