Tom Charles Fish SR., PT

NPI #1124078464 in Kernersville, North Carolina

Provider Information

NPI Number: 1124078464
Entity Type: Individual
Name: Tom Charles Fish SR., PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 10, 2006
Last Updated: May 15, 2011

Practice Location

Address: 1031 E MOUNTAIN ST
Address 2: BUILDING 318, SUITE 101
City: Kernersville
State: North Carolina
ZIP Code: 27284-7997
Phone: (336) 996-4980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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