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Individual

LAURA C JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2387 LANTERN ST, CHARLESTON, SC 29414-4850
(317) 750-9879
Mailing address
316 ARCHIBALD DR, GOOSE CREEK, SC 29445-8211
(843) 330-1660

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
36792

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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