Organization
JOINT PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON GORDON GORDON (CO-OWNER)
(954) 817-9864
Entity
Organization
Contact information
Practice address
600 S DIXIE HWY STE 104, BOCA RATON, FL 33432-6034
(954) 817-9864
Mailing address
8238 NW 16TH ST, CORAL SPRINGS, FL 33071-6215
(954) 817-9864
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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