MR. Phillip Dwayne Fugate, P.T.A.
NPI #1275650426 in Easley, South Carolina
Provider Information
- NPI Number
- 1275650426
- Entity Type
- Individual
- Name
- MR. Phillip Dwayne Fugate, P.T.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- P.T.A.
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 101 GRACE DR
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29640-9088
- Phone
- (864) 679-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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