| NPI | 1992355093 |
|---|---|
| Doing Business As | PREMIER PERFORMANCE AND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | GREG FRYE Owner/Physical Therapist 386-290-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |