Organization
PERFORMANCE PHYSICAL THERAPY OF NEW CANAAN, PLLC
Active
Other names
Performance Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE BURKE (BILLING MANAGER)
(203) 553-7626
Entity
Organization
Contact information
Practice address
16 CROSS ST, NEW CANAAN, CT 06840-4831
(203) 422-0679
(203) 621-3162
Mailing address
PO BOX 402, COS COB, CT 06807-0402
(203) 553-7626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
03/08/2019
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