Organization
PERFORMANCE PHYSICAL THERAPY AND SPORTS CONDITIONING, INC
Active
Other names
Perfromance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER D TONINI DPT (SECRETARY)
(831) 643-1234
Entity
Organization
Contact information
Practice address
19 UPPER RAGSDALE DR, STE 180, MONTEREY, CA 93940-7881
(831) 643-1234
(831) 643-1233
Mailing address
19 UPPER RAGSDALE DR, STE 180, MONTEREY, CA 93940-7881
(831) 643-1234
(831) 643-1233
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65099Z
BLUE SHIELD OF CA NUMBER
CA
Enumeration date
07/05/2006
Last updated
12/05/2012
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