Performance Physical Therapy & Sports Medicine INC
NPI #1871738872 in La Fayette, Georgia
Provider Information
- NPI Number
- 1871738872
- Entity Type
- Organization
- Organization Name
- Performance Physical Therapy & Sports Medicine INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 5, 2008
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 106 PEARL DR
- Address 2
- SUITE 104
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-7509
- Phone
- (706) 638-3880
Authorized Official
- Name
- MR. JEFFREY BERTON GIDDENS, PT
- Title
- OWNER/PRESIDENT
- Phone
- (770) 748-0309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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