Individual
LAURA KEYS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3250 HARDEN STREET EXT, SUITE 100, COLUMBIA, SC 29203-6842
(803) 509-6389
(803) 509-6390
Mailing address
3250 HARDEN STREET EXT, SUITE 100, COLUMBIA, SC 29203-6842
(803) 509-6389
(803) 509-6390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7374
SC
Other
Enumeration date
06/11/2014
Last updated
10/10/2017
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