# PERFORMANCE REHAB LLC

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

## Provider details

- **NPI number:** 1811052350
- **Authorized official:** TODD A. BRADLEY DPT (PT/OWNER)
- **Authorized official phone:** (319) 283-2002

## Contact information

- **Practice address:** 204 E CHARLES ST, OELWEIN, IA 50662-1940
- **Practice address phone:** (319) 283-2002
- **Practice address fax:** (319) 283-2015
- **Mailing address:** 204 E. CHARLES ST., OELWEIN, IA 50662-1940
- **Mailing address phone:** (319) 283-2002
- **Mailing address fax:** (319) 283-2015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 07/09/2020