Performance Physical Therapy Of New Canaan, PLLC
Clinic/Center, Physical Therapy in New Canaan, CT. Organization (NPI-2).
NPI number1194282004
StatusActive
Last updated in NPPESMar 8, 2019
Details
- NPI
- 1194282004
- Entity type
- Organization (NPI-2)
- Legal business name
- Performance Physical Therapy Of New Canaan, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2019
- Last updated
- Mar 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Performance Physical Therapy And Wellness (Doing Business As)
Practice location
16 Cross StNew Canaan, CT 06840-4831
Phone 203-422-0679 · Fax 203-621-3162
Mailing address
Po Box 402Cos Cob, CT 06807-0402
Phone 203-553-7626
Authorized official
Simone Burke
Billing Manager
2035537626
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