Individual
ANN MARIE BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9565 HIGHWAY 78 BLDG 102, LADSON, SC 29456-4118
(843) 569-4546
(843) 569-4535
Mailing address
9565 HIGHWAY 78 STE 102, LADSON, SC 29456-4118
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5014
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14393509
CAQH
—
05
—
TH2920
—
SC
05
—
TH4015
—
SC
Enumeration date
06/05/2018
Last updated
12/18/2025
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