Individual
LORRI JOSEPHINE ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 361-6797
Mailing address
12 SOUTH ST, TAYLORS, SC 29687-2451
(864) 361-6797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1565
SC
Other
Enumeration date
07/04/2009
Last updated
07/09/2009
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