| Organization Name: | PERFORMANCE THERAPY CENTER |
| NPI Number: | 1700974888 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN MCMAHON (PRESIDENT) |
| Mailing Address: | 1305 Del Norte Rd Ste 105 Camarillo |
| State: | CA US |
| Postal Code: | 930108367 |
| Phone Number: | 8059813006 |
| Fax Number: | 8059813070 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 11071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |