Individual
SUSAN DINLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 KINGSMILL LN, LAKE WYLIE, SC 29710-8072
(866) 571-2700
Mailing address
716 KINGSMILL LN, LAKE WYLIE, SC 29710-8072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4985
SC
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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