Individual
LAUREN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 WARLEY ST, FLORENCE, SC 29501-5132
(843) 662-4573
Mailing address
1315 GREGG AVE, FLORENCE, SC 29501-4236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3295
SC
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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