Organization
PERFORMANCE PHYSICAL THERAPY & REHAB OF ORMOND BEACH, LLC
Active
Other names
Performance Physical Therapy of Ormond Beach
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D'AVY PT (PARTNER)
(386) 615-6464
Entity
Organization
Contact information
Practice address
53 N KINGS RD, ORMOND BEACH, FL 32174-9519
(386) 615-6464
Mailing address
53 N KINGS RD, ORMOND BEACH, FL 32174-9519
(386) 615-6464
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
10/15/2007
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