Organization
PERFORMANCE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC JOSEPH VAN HULLE M.P.T., O.M.P.T. (MEMBER / PARTNER)
(586) 344-7449
Entity
Organization
Contact information
Practice address
1457 N ROCHESTER RD, ROCHESTER HILLS, MI 48307-1122
(248) 759-4446
(248) 759-4448
Mailing address
1457 N ROCHESTER RD, ROCHESTER HILLS, MI 48307-1122
(248) 759-4446
(248) 759-4448
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501010847
MI
Other
Enumeration date
10/15/2010
Last updated
04/25/2011
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