Organization
PERFORMANCE PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MARUCCI D.C. (OWNER)
(330) 286-3669
Entity
Organization
Contact information
Practice address
6715 TIPPECANOE RD, F101, CANFIELD, OH 44406-8180
(330) 286-3669
Mailing address
6715 TIPPECANOE RD, F101, CANFIELD, OH 44406-8180
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT009320
OH
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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