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Organization
PEAK PERFORMANCE CARE PHYSICAL THERAPY INC
Active
Organization
PEAK PERFORMANCE CARE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLORA WESTON DPT (OWNER)
(209) 532-1288
Entity
Organization
Contact information
Practice address
13949 MONO WAY, SONORA, CA 95370-2807
(209) 532-1288
(209) 230-9529
Mailing address
PO BOX 4143, SONORA, CA 95370-4143
(209) 532-1288
(209) 230-9529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740420058
—
CA
Enumeration date
02/20/2019
Last updated
02/20/2019
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