| NPI | 1417765413 |
|---|---|
| Doing Business As | FUNCTIONAL PERFORMANCE PHYSICAL THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | ANGELA REICH Owner 657-294-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2025-10-24 |