Individual
JOANNE M MAMBRETTI-DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
333 S PINE ST, SPARTANBURG, SC 29302-2622
(864) 515-7580
Mailing address
103 N MAIN ST, SUITE 300, GREENVILLE, SC 29601-2796
(864) 528-5700
(864) 528-5701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4682
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4682
LIC
SC
05
—
TH1800
—
SC
Enumeration date
09/14/2006
Last updated
11/12/2012
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