Organization
PERFORMANCE & RECOVERY LAB, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY WARREN DPT (OWNER)
(702) 443-1133
Entity
Organization
Contact information
Practice address
3514 N POWER RD STE 133, MESA, AZ 85215-2911
(480) 625-6693
(480) 304-3269
Mailing address
3514 N POWER RD STE 133, MESA, AZ 85215-2911
(480) 625-6693
(480) 304-3269
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407293491
INDIVIDUAL NPI
AZ
Enumeration date
08/24/2017
Last updated
08/28/2025
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