# PERFORMANCE PHYSICAL THERAPY OF CT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** performance Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285751578
- **Authorized official:** TODD MICHAEL WILKOWSKI PT, OCS, SCS (OWNER)
- **Authorized official phone:** (203) 422-0679

## Contact information

- **Practice address:** 80 LARGO DR, STAMFORD, CT 06907-2339
- **Practice address phone:** (203) 324-2878
- **Practice address fax:** (203) 324-2879
- **Mailing address:** 35 RIVER RD, COS COB, CT 06807-2717
- **Mailing address phone:** (203) 422-0679
- **Mailing address fax:** (203) 422-0931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 04/21/2010