Individual
MISS LAUREN MARY HEPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
538 WILD HORSE CT, MYRTLE BEACH, SC 29579-7577
(843) 455-2415
(843) 903-2742
Mailing address
538 WILD HORSE CT, MYRTLE BEACH, SC 29579-7577
(843) 455-2415
(843) 903-2742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2608
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2608
SOUTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS
SC
Enumeration date
03/30/2011
Last updated
03/30/2011
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