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1104655448
TACTICAL PERFORMANCE PHYSIO LLC
CARY, NC
NPI
1104655448
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Entity Type
Organization
Authorized Contact
BLAZE CHARLES CHATHAM
Owner/Founder
845-527-4103
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
TACTICAL PERFORMANCE PHYSIO LLC
130 TWIN OAKS PL
CARY, NC 27511-5566
Phone number: 845-527-4103
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Mailing Address
TACTICAL PERFORMANCE PHYSIO LLC
130 TWIN OAKS PL
CARY, NC 27511-5566
Phone number: 845-527-4103
Copy
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