Individual
LAURIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 PENNINGTON DR STE 9, BLUFFTON, SC 29910-6056
(843) 815-3131
Mailing address
PO BOX 3096, BLUFFTON, SC 29910-3096
(704) 759-8830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3684
LICENSE #
SC
Enumeration date
08/24/2006
Last updated
07/08/2007
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