Individual
MR. LAWRENCE EDWARD BERTOLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T. , M.A.
Contact information
Practice address
38 BUSINESS CENTER DRIVE, PAWLEYS ISLAND, SC 29585
(843) 235-0200
(843) 235-0242
Mailing address
PO BOX 2397, PAWLEYS ISLAND, SC 29585-2397
(843) 237-0200
(843) 235-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9962
OH
Other
Enumeration date
01/16/2007
Last updated
12/07/2009
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