Organization
POSITIVE PERFORMANCE PHYSICAL THERAPY LLC
Active
Other names
Traci Richardson, DPT
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI RICHARDSON DPT (SOLE MBR)
(814) 441-9183
Entity
Organization
Contact information
Practice address
1146 KAREN ST, BOALSBURG, PA 16827-1642
(814) 441-9183
(833) 277-6195
Mailing address
PO BOX 218, BOALSBURG, PA 16827-0218
(814) 441-9183
(833) 277-6195
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101115561-0005
—
PA
Enumeration date
12/30/2022
Last updated
12/30/2022
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