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Organization
PERFORMANCE PHYSICAL THERAPY
Active
Organization
PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP JON WHITE P.T. (PHYSICAL THERAPIST/OWNER)
(530) 842-5220
Entity
Organization
Contact information
Practice address
1289 S MAIN ST, SUITE 1, YREKA, CA 96097-3433
(530) 842-5220
(530) 842-5210
Mailing address
1289 S MAIN ST, SUITE 1, YREKA, CA 96097-3433
(530) 842-5220
(530) 842-5210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 22955
CA
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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