Organization
PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON APPLEGATE PT, DPT (OWNER/PHYSICAL THERAPIST)
(765) 318-7400
Entity
Organization
Contact information
Practice address
1625 S 25TH ST, TERRE HAUTE, IN 47803-3677
(765) 318-7400
Mailing address
5475 CANNON CT APT H, TERRE HAUTE, IN 47803-4268
(765) 318-7400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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