Organization
PERFORMANCE PHYSICAL THERAPY OF PORT ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D JUDGE PT (PARTNER)
(386) 304-8112
Entity
Organization
Contact information
Practice address
5100 S CLYDE MORRIS BLVD, PORT ORANGE, FL 32127-8976
(386) 304-8112
Mailing address
5100 S CLYDE MORRIS BLVD, SUITE 200, PORT ORANGE, FL 32127-8976
(386) 304-8112
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
10/18/2007
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