Individual
LYNSEY ANN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6233
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6233
STATE OF SOUTH CAROLINA
SC
Enumeration date
07/20/2010
Last updated
08/14/2013
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