Performance Physiotherapy, Inc.

NPI 1295131464 - Physical Therapist - 225100000X

NPI Details
NPI 1295131464
Enumeration Date 11/14/2014
Last Updated 11/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DERRICK DERRICK
Position PRESIDENT
Phone (252) 367-1118
Fax
Practice Location
12137 ELM ST
PRINCESS ANNE MD, 21853-1358, US
Phone (252) 367-1118
Fax
Business Location
PO BOX 54
ZEBULON NC, 27597-0054, US
Phone (919) 404-1448
Fax
Toxanomy
Taxonomy Code 225100000X
License State North Carolina
License Number P11098
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According to our database, Performance Physiotherapy, Inc. NPI is 1295131464, taxonomy code is 225100000X and license number is P11098, license state is located at North Carolina. Performance Physiotherapy, Inc. physically located at 12137 Elm St, Princess Anne MD, 21853-1358. NPI Number 1033115704 has the healthcare provider type.

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1295131464 NPI number is provided on an as is basis without warranty of any kind. 1295131464 is maintained by the National Plan & Provider Enumeration System. The contents of Performance Physiotherapy, Inc. are for informational purposes only.