# PERFORMANCE GROUP ALBERTVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669481222
- **Authorized official:** DANIEL ANDREW DAVIS (BILLING COORDINATOR)
- **Authorized official phone:** (256) 744-3350

## Contact information

- **Practice address:** 4198 U.S. HWY. 431, STE D, ALBERTVILLE, AL 35951-0238
- **Practice address phone:** (256) 894-3870
- **Practice address fax:** (256) 894-3872
- **Mailing address:** P.O. BOX 14149, BATON ROUGE, LA 70898-4149
- **Mailing address phone:** (225) 924-9827
- **Mailing address fax:** (225) 924-9829

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/29/2011
