# PERFORMAX PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194766808
- **Authorized official:** MONICA A MANNNINO (OWNER)
- **Authorized official phone:** (734) 379-7900

## Contact information

- **Practice address:** 29100 GATEWAY BLVD, SUITE 400, FLAT ROCK, MI 48134-2764
- **Practice address phone:** (734) 379-7900
- **Mailing address:** 29100 GATEWAY BLVD., SUITE 400, FLAT ROCK, MI 48134
- **Mailing address phone:** (734) 379-7900
- **Mailing address fax:** (734) 379-9150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 06/12/2013