| NPI | 1578787412 |
|---|---|
| Doing Business As | THE PERFORMANCE PLACE |
| Entity Type | Organization |
| Authorized Contact | LLOYD HORACE GIVAN Manager 434-220-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: VA 2305003964) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |