Organization Name: | PEAK PERFORMANCE REHABILITATION, INC |
NPI Number: | 1831220037 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH SEAN GALLOWAY (PRESIDENT) |
Mailing Address: | 950 Main St Suite B Wartburg |
State: | TN US |
Postal Code: | 378874309 |
Phone Number: | 4233467333 |
Fax Number: | 4233467337 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |