| NPI | 1801122577 |
|---|---|
| Doing Business As | PRO PERFORMANCE THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMANDA LANCASTER Business Manager 770-663-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |