Organization
PEAK PERFORMANCE CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLORA WESTON DPT (OWNER, PHYSICAL THERAPIST)
(209) 532-1288
Entity
Organization
Contact information
Practice address
19 BRADFORD ST, SONORA, CA 95370-4701
(209) 532-1288
Mailing address
PO BOX 4143, SONORA, CA 95370-4143
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
35312
CA
Other
Enumeration date
01/19/2011
Last updated
08/11/2011
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