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Individual

AMY LYNNE BOULTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
2112 FRIAR CT, FLOWER MOUND, TX 75028-3555
(972) 742-0592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7429
SC

Other

Enumeration date
07/17/2014
Last updated
07/17/2014
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