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Organization

PERFORMANCE PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN J FERREIRA MSPT (OWNER)
(860) 871-2508
Entity
Organization

Contact information

Practice address
1379 ENFIELD ST, ENFIELD, CT 06082-5524
(860) 741-0363
(860) 741-0374
Mailing address
1379 ENFIELD ST, ENFIELD, CT 06082-5524
(860) 741-0363
(860) 741-0374

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548386261
INDIVIDUAL NPI
CT
Enumeration date
10/15/2014
Last updated
10/15/2014
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