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Organization
PERFORMANCE REHAB LLC
Active
Organization
PERFORMANCE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A. BRADLEY DPT (PT/OWNER)
(319) 283-2002
Entity
Organization
Contact information
Practice address
204 E CHARLES ST, OELWEIN, IA 50662-1940
(319) 283-2002
(319) 283-2015
Mailing address
204 E. CHARLES ST., OELWEIN, IA 50662-1940
(319) 283-2002
(319) 283-2015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/26/2006
Last updated
07/09/2020
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