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Organization
PERFORMANCE PHYSICAL THERAPY, INC.
Active
Organization
PERFORMANCE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHRISTOPHER LINGAS DPT, OCS, SCS (PRESIDENT)
(909) 796-7700
Entity
Organization
Contact information
Practice address
25864 BUSINESS CENTER DR STE C, REDLANDS, CA 92374-4515
(909) 796-7700
(909) 796-4384
Mailing address
PO BOX 847, REDLANDS, CA 92373-0261
(909) 796-7700
(909) 796-4384
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT106731
MEDICARE ID
CA
01
—
OPT184841
MEDICARE ID
CA
01
—
OPT74550
MEDICARE ID
CA
Enumeration date
08/29/2006
Last updated
04/10/2023
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