| NPI | 1184698185 |
|---|---|
| Doing Business As | PERFORMANCE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | RICHARD JUAN VICORY PT/President 407-814-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT16637) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |