Organization
PERFORM PHYSIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLEY ANN GREENAWALT PT, DPT, OCS, MTC (OWNER)
(724) 831-8337
Entity
Organization
Contact information
Practice address
129 MCCARRELL LN, ZELIENOPLE, PA 16063-2827
(724) 831-8337
Mailing address
105 FAIRMONT DR, ZELIENOPLE, PA 16063-1701
(724) 831-8337
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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