Charleston Faglie Valid NPI
Individual provider · Physical Therapist · Ft Moore, GA
- NPI
- 1013671577
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 1370634 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-10-29
- Last updated
- 2024-01-12
Practice location
Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250
Ft Moore, GA 31905
(409) 771-2286