Organization
PERFORMANCE PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SAMPLES DPT (OWNER)
(973) 368-4907
Entity
Organization
Contact information
Practice address
15 CORPORATE DR STE 6, WAYNE, NJ 07470-3120
(973) 368-4907
(973) 368-4909
Mailing address
15 CORPORATE DR STE 6, WAYNE, NJ 07470-3120
(973) 368-4907
(973) 368-4909
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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