| Organization Name: | PERFORMAX PHYSICAL THERAPY, INC. |
| NPI Number: | 1194766808 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA A MANNNINO (OWNER) |
| Mailing Address: | 29100 Gateway Blvd Suite 400 Flat Rock |
| State: | MI US |
| Postal Code: | 481342764 |
| Phone Number: | 7343797900 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |