# PROFORMANCE THERAPY AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1770064990
- **Authorized official:** DR. MAGGIE ANN DUGGAN DPT (OWNER)
- **Authorized official phone:** (706) 410-0255

## Contact information

- **Practice address:** 162 EXPORT CIR NW, HUNTSVILLE, AL 35806-3916
- **Practice address phone:** (256) 203-3804
- **Practice address fax:** (256) 513-9952
- **Mailing address:** 216 BEL AIR RD SE, HUNTSVILLE, AL 35802-3154
- **Mailing address phone:** (256) 203-3804
- **Mailing address fax:** (256) 513-9952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH6560 | AL | Yes |

## Other

- **Enumeration date:** 08/25/2018
- **Last updated:** 04/21/2023