Performance Physical Therapy, Pc

NPI 1043259724 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1043259724
Enumeration Date 06/06/2006
Last Updated 03/12/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERIC SHANE ERIC
Position PRESIDENT PHYSICAL THERAPIST
Phone (406) 846-7770
Fax (406) 846-7771
Practice Location
600 MAIN ST
DEER LODGE MT, 59722-1440, US
Phone (406) 846-7770
Fax (406) 846-7771
Business Location
600 MAIN ST
DEER LODGE MT, 59722-1440, US
Phone (406) 846-7770
Fax (406) 846-7771
Toxanomy
Taxonomy Code 208100000X
License State Montana
License Number 1529PT
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According to our database, Performance Physical Therapy, Pc NPI is 1043259724, taxonomy code is 208100000X and license number is 1529PT, license state is located at Montana. Performance Physical Therapy, Pc physically located at 600 Main St, Deer Lodge MT, 59722-1440. NPI Number 1033115704 has the healthcare provider type.

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1043259724 NPI number is provided on an as is basis without warranty of any kind. 1043259724 is maintained by the National Plan & Provider Enumeration System. The contents of Performance Physical Therapy, Pc are for informational purposes only.