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Organization
PERFORMANCE ENHANCEMENT CONCEPTS, LLC
Active
Organization
PERFORMANCE ENHANCEMENT CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GILLIGAN PT (OWNER)
(201) 750-4700
Entity
Organization
Contact information
Practice address
55 WALNUT ST, NORWOOD, NJ 07648-1335
(201) 750-4700
(201) 750-4701
Mailing address
55 WALNUT ST, NORWOOD, NJ 07648-1335
(201) 750-4700
(201) 750-4701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00376400
NJ
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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