| 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 |