Organization
PERFORMANCE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B LYON PT (OWNER)
(412) 492-8691
Entity
Organization
Contact information
Practice address
2661 CLEARVIEW RD, ALLISON PARK, PA 15101-3180
(412) 492-8691
Mailing address
2661 CLEARVIEW RD, ALLISON PARK, PA 15101-3180
(412) 492-8691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT005873L
PA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT005873L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1533587
BCBS
PA
Enumeration date
08/21/2007
Last updated
12/21/2010
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