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Contact Information

PERFORMANCE PHYSICAL THERAPY AND REHABILITATION
1338 RITTER DR.
DANIELS, WV25832
 Phone: 304-890-3480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for PERFORMANCE PHYSICAL THERAPY AND REHABILITATION

NPI # 1457716359
LBN Legal business name PERFORMANCE PHYSICAL THERAPY AND REHABILITATION
Authorized official ANGELA BEAVER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2015
Last updated 12/18/2015 - About 10 years ago
Identifiers
WV License # 1641
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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