Individual
ELIZABETH DEEANN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3400 ANDERSON RD, SUITE C, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Mailing address
402 PONCE DELEON DR, ANDERSON, SC 29621-7241
(864) 231-9595
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
979
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0006
—
SC
Enumeration date
08/10/2006
Last updated
07/08/2007
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