Organization
ELITE PERFORMANCE LLC
Active
Organization
ELITE PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAO TRAN PT (OWNER)
(855) 633-3786
Entity
Organization
Contact information
Practice address
918 SOUTH AVE W, WESTFIELD, NJ 07090-1415
(855) 633-3786
Mailing address
918 SOUTH AVE W, WESTFIELD, NJ 07090-1415
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
40QA01103700
NJ
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01105400
NJ
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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