Organization
PERFORMANCE PHYSICAL THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LORRAINE WELSH MSPT (OWNER)
(703) 339-3767
Entity
Organization
Contact information
Practice address
7700B GUNSTON PLZ, LORTON, VA 22079-1897
(703) 339-3767
(703) 339-3793
Mailing address
PO BOX 243, LORTON, VA 22199-0243
(703) 339-3767
(703) 339-3793
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305203265
VA
Other
Enumeration date
05/26/2009
Last updated
06/12/2012
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