# FUEL PHYSIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PlayTime Therapies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033688536
- **Authorized official:** PATRICK BERNER PT, DPT, RDN (OWNER)
- **Authorized official phone:** (864) 906-3555

## Contact information

- **Practice address:** 25 AMY LN, TAYLORS, SC 29687-3601
- **Practice address phone:** (864) 906-3555
- **Mailing address:** 25 AMY LN, TAYLORS, SC 29687-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018