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Organization
PERFORMANCE PHYSICAL THERAPY & WELLNESS LLC
Active
Organization
PERFORMANCE PHYSICAL THERAPY & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN BROERING PT (PT)
(567) 644-9073
Entity
Organization
Contact information
Practice address
216 W MAIN ST, COLDWATER, OH 45828-1703
(419) 763-1464
(419) 763-1482
Mailing address
216 W MAIN ST, COLDWATER, OH 45828-1703
(419) 763-1464
(419) 763-1482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11545
OH
Other
Enumeration date
08/15/2013
Last updated
09/07/2021
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