Individual
LEANN MAYBIN CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 POINSETT HWY, GREENVILLE, SC 29613-0002
(864) 241-5190
Mailing address
5 GOODWIN FARMS CT, TRAVELERS REST, SC 29690-7609
(828) 696-6597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3658
SC
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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