# PHISON DAI VY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154917813
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 10468 | SC | — |
| 225100000X | Physical Therapist | CP032698T | NC | Yes |
| 225100000X | Physical Therapist | — | NULL | — |

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 11/05/2024