Performance Physical Therapy of Bridgeview

NPI #1912954074 in Oak Lawn, Illinois

Provider Information

NPI Number: 1912954074
Entity Type: Organization
Organization Name: Performance Physical Therapy of Bridgeview
Primary Specialty: Physical Therapist
Enumeration Date: May 27, 2006
Last Updated: Sep 13, 2010

Practice Location

Address: 4807 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2501
Phone: (708) 599-1983

Authorized Official

Name: JAMES JUDGE, P.T.
Title: PARTNER/MANAGER
Phone: (708) 599-1983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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