Individual
LORETTA GAIL BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1920 OAK TREE LN, MOUNT PLEASANT, SC 29464-9413
(864) 275-1622
Mailing address
1920 OAK TREE LN, MOUNT PLEASANT, SC 29464-9413
(864) 275-1622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4059
SC
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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