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Organization

PERFORMANCE THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KADE MITCHELL HARRIS (OWNER)
(256) 572-6212
Entity
Organization

Contact information

Practice address
7508 HUNTERWOOD LN, OWENS CROSS ROADS, AL 35763-8866
(256) 572-6212
Mailing address
7508 HUNTERWOOD LN, OWENS CROSS ROADS, AL 35763-8866
(256) 572-6212

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6012
AL

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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