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Organization
PERFORMANCE PHYSICAL THERAPY
Active
Organization
PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN MURPHY (OWNER)
(805) 552-1915
Entity
Organization
Contact information
Practice address
537 NEW LOS ANGELES AVE, #D, MOORPARK, CA 93021-2059
(805) 552-1915
Mailing address
537 NEW LOS ANGELES AVE, #D, MOORPARK, CA 93021-2059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27154
CA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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