Performance Lifestyles Inc.

NPI #1588663975 in Burlington, Massachusetts

Provider Information

NPI Number: 1588663975
Entity Type: Organization
Organization Name: Performance Lifestyles Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jul 18, 2005
Last Updated: Feb 22, 2012

Practice Location

Address: 23D CAMBRIDGE ST.
City: Burlington
State: Massachusetts
ZIP Code: 01803-4601
Phone: (781) 272-5151

Authorized Official

Name: MR. RANDY W BRUNEAU, PT
Title: PRESIDENT
Phone: (781) 272-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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