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Organization
PERFORMANCE PHYSICAL THERAPY OF CT
Active
Organization
PERFORMANCE PHYSICAL THERAPY OF CT
Active
Other names
Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD MICHAEL WILKOWSKI PT, OCS, SCS (OWNER)
(203) 422-0679
Entity
Organization
Contact information
Practice address
35 RIVER RD, COS COB, CT 06807-2717
(203) 422-0679
(203) 422-0931
Mailing address
35 RIVER RD, COS COB, CT 06807-2717
(203) 422-0679
(203) 422-0931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
04/03/2014
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