Organization
CORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS KOWALSKI DPT (AUTHORIZED OFFICIAL/OWNER)
(716) 465-0883
Entity
Organization
Contact information
Practice address
9347 FOUNDERS ST STE A, FORT MILL, SC 29708-6417
(716) 465-0883
Mailing address
9347 FOUNDERS ST STE A, FORT MILL, SC 29708-6417
(716) 465-0883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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