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Organization

PERFORMANCE LIFESTYLES INC.

Active
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Organization

PERFORMANCE LIFESTYLES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY W BRUNEAU PT (PRESIDENT)
(781) 272-5151
Entity
Organization

Contact information

Practice address
23D CAMBRIDGE ST., BURLINGTON, MA 01803-4601
(781) 272-5151
(781) 272-9992
Mailing address
23D CAMBRIDGE ST., BURLINGTON, MA 01803-4601
(781) 272-5151
(781) 272-9992

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
07/18/2005
Last updated
02/22/2012
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