| NPI | 1144356296 |
|---|---|
| Former Legal Business Name | PERFORMANCE REHAB |
| Entity Type | Organization |
| Authorized Contact | ALBERTO ANTONIO FUENTES Vice President 954-560-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2020-08-22 |