NPI | 1851162739 |
---|---|
Doing Business As | PHYSIOFUNCTION PT & PERFORMANCE |
Entity Type | Organization |
Authorized Contact | KYLE RICHARD DAUGHERTY Owner 803-816-0136 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2024-01-10 |
Last Update Date | 2024-02-21 |