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1003196213
PERFORMANCE PT LLC
WAYNE, NJ
NPI
1003196213
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Entity Type
Organization
Authorized Contact
BRAD SAMPLES
Owner
973-368-4907
Organization Subpart ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
Enumeration Date
2011-08-18
Last Update Date
2011-08-18
Business Address
PERFORMANCE PT LLC
15 CORPORATE DR STE 6
WAYNE, NJ 07470-3120
Phone number: 973-368-4907
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Mailing Address
PERFORMANCE PT LLC
15 CORPORATE DR STE 6
WAYNE, NJ 07470-3120
Phone number: 973-368-4907
Copy
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