Organization
PEAK PERFORMANCE CARE PHYSICAL THERAPY
Active
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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