Individual
BENJAMIN DAVID TOFAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 GARNERS FERRY RD, COLUMBIA, SC 29209-9496
(502) 468-5185
Mailing address
3202 DUNLOVA CT, LOUISVILLE, KY 40241-2114
(502) 468-5185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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