Individual
LAUREN KENDALL STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
955 SAINT PETERS CHURCH RD, CHAPIN, SC 29036-8197
(803) 331-5620
Mailing address
955 SAINT PETERS CHURCH RD, CHAPIN, SC 29036-8197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3807
SC
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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