Organization
FEDERICO PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN FEDERICO DPT (OWNER/CLINICIAN)
(423) 430-6611
Entity
Organization
Contact information
Practice address
108 E 10TH AVE STE 2, JOHNSON CITY, TN 37601-3925
(423) 430-6611
(423) 815-1051
Mailing address
123 E 11TH AVE, JOHNSON CITY, TN 37601-3928
(423) 430-6611
(423) 815-1051
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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