| NPI | 1801347760 |
|---|---|
| Doing Business As | PERFORMANCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TRACY TRASKAUSKAS Credentialing Specialist 401-433-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-03-28 |