Organization
PERFORMANCE PHYSICAL THERAPY GROUP
Active
Organization
PERFORMANCE PHYSICAL THERAPY GROUP
Active
Other names
Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STACY SWEETEN (EXECUTIVE VICE PRESIDENT)
(479) 443-4441
Entity
Organization
Contact information
Practice address
3219 S 70TH ST, SUITE 2, FORT SMITH, AR 72903-5051
(479) 443-4441
Mailing address
3219 S 70TH ST, SUITE 2, FORT SMITH, AR 72903-5051
(479) 443-4441
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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