Individual
LEANNE HIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5500 FRONT ST # 203, SUMMERVILLE, SC 29486-8137
(843) 879-4060
(854) 220-0120
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 572-7727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12560
SC
Other
Enumeration date
08/07/2024
Last updated
11/04/2024
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