PHILLIP DWAYNE FUGATE

EASLEY, SC
NPI1275650426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1067)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
Mr. PHILLIP DWAYNE FUGATE P.T.A.
101 GRACE DR
EASLEY, SC 29640-9088
Phone number: 864-679-3100
Mailing Address
Mr. PHILLIP DWAYNE FUGATE P.T.A.
2467 BEAVER CREEK LN
AIKEN, SC 29803-4101
Phone number: 803-649-0446
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