Organization
TOTAL PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ERICA MOORE PT (OWNER)
(215) 997-9898
Entity
Organization
Contact information
Practice address
1501 LOWER STATE RD, SUITE 308, NORTH WALES, PA 19454-1216
(215) 997-9898
(215) 997-9899
Mailing address
1501 LOWER STATE RD, STE 308, NORTH WALES, PA 19454-1216
(215) 997-9898
(215) 997-9899
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
17352
PA
Other
Enumeration date
06/28/2011
Last updated
10/30/2011
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