Organization
PERFORMANCE ENHANCEMENT PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN P BROWN PT (PRESIDENT)
(302) 423-0236
Entity
Organization
Contact information
Practice address
1255 S STATE ST, SUITE 7, DOVER, DE 19901-6932
(302) 423-0236
Mailing address
71 MCBRY DR, DOVER, DE 19901-4407
(302) 423-0236
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
J1-0000429
DE
Other
Enumeration date
06/20/2014
Last updated
09/11/2014
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