Organization
THE PERFORMANCE LAB
Active
Other names
The Performance Lab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LAVAWAY MSPT (CEO/OWNER)
(475) 233-3311
Entity
Organization
Contact information
Practice address
40 UNION CITY RD STE D, PROSPECT, CT 06712-1585
(203) 232-5924
Mailing address
103 PLANK RD, PROSPECT, CT 06712-1437
(203) 232-5924
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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