Organization
PERFORMANCE PHYSICAL THERAPY OF CT
Active
Other names
performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MICHAEL WILKOWSKI PT, OCS, SCS (OWNER)
(203) 422-0679
Entity
Organization
Contact information
Practice address
80 LARGO DR, STAMFORD, CT 06907-2339
(203) 324-2878
(203) 324-2879
Mailing address
35 RIVER RD, COS COB, CT 06807-2717
(203) 422-0679
(203) 422-0931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
04/21/2010
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