| NPI | 1114102647 |
|---|---|
| Doing Business As | PERFORMANCE PHYSICAL THERAPY OF ORMOND BEACH |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D'AVY Owner 386-615-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT3807) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-07-01 |