| NPI | 1790722668 |
|---|---|
| Other Name | PERFORMANCE PHYSICAL THERAPY OF ORMOND BEACH |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D'AVY Partner 386-615-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-10-15 |