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Organization
PRO PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization
PRO PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH KUST (OWNER)
(262) 565-7950
Entity
Organization
Contact information
Practice address
2544 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-3228
(954) 253-0863
(954) 416-3625
Mailing address
2544 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-3228
(954) 253-0863
(954) 416-3625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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