# PERFORMANCE PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Performance Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710102140
- **Authorized official:** MS. REBECCA MARTIN PLACELLA M.P.T. (OWNER)
- **Authorized official phone:** (301) 938-7915

## Contact information

- **Practice address:** 877 BALTIMORE ANNAPOLIS BLVD, SUITE 105, SEVERNA PARK, MD 21146-4700
- **Practice address phone:** (410) 431-7040
- **Practice address fax:** (410) 431-7042
- **Mailing address:** 13704 HARVEST GLEN WAY, GERMANTOWN, MD 20874-6250
- **Mailing address phone:** (301) 938-7915
- **Mailing address fax:** (410) 431-7042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020