Organization
FUNDAMENTAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE JEAN RYAN PT (PHYSICAL THERAPIST)
(704) 509-4141
Entity
Organization
Contact information
Practice address
9517 SADDLE RUN TRL, CHARLOTTE, NC 28269-0383
(704) 509-4141
Mailing address
9517 SADDLE RUN TRL, CHARLOTTE, NC 28269-0383
(704) 509-4141
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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