Organization
PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN LITTLEJOHN (OWNER)
(919) 710-2681
Entity
Organization
Contact information
Practice address
5501 FORTUNES RIDGE DR, STE. L, DURHAM, NC 27713-6102
(919) 710-2681
Mailing address
5501 FORTUNES RIDGE DR, STE. L, DURHAM, NC 27713-6102
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11174
NC
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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