Organization
PHYSICAL PERFORMANCE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PEACOCK (OWNER)
(803) 275-7675
Entity
Organization
Contact information
Practice address
147 PENDLETON ST NW, AIKEN, SC 29801-3859
(803) 275-7675
Mailing address
147 PENDLETON ST NW, AIKEN, SC 29801-3859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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