Individual
MRS. LISA MARIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
201 ROPER CREEK DR, GREENVILLE, SC 29615-6927
(864) 286-9966
Mailing address
PO BOX 749303, ATLANTA, GA 30374-9303
(864) 573-5075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5257
SC
Other
Enumeration date
03/06/2013
Last updated
11/11/2024
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