Tactical Performance Physio LLC
NPI #1104655448 in Cary, North Carolina
Provider Information
- NPI Number
- 1104655448
- Entity Type
- Organization
- Organization Name
- Tactical Performance Physio LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 26, 2024
- Last Updated
- Jul 26, 2024
Practice Location
- Address
- 130 TWIN OAKS PL
- City
- Cary
- State
- North Carolina
- ZIP Code
- 27511-5566
- Phone
- (845) 527-4103
Authorized Official
- Name
- DR. BLAZE CHARLES CHATHAM, PT, DPT
- Title
- OWNER/FOUNDER
- Phone
- (845) 527-4103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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