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Individual

LAURA A. EISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1344
(864) 331-1446
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
(864) 797-6198

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6883
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH2570
SC
Enumeration date
11/27/2012
Last updated
01/17/2013
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