Individual
LAURA ELIZABETH SUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1096 ASSEMBLY DR STE 310, FORT MILL, SC 29708-6450
(803) 547-9800
Mailing address
6065 DAPHNE CIR, FORT MILL, SC 29708-6577
(803) 547-9800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT.8362PT
SC LICENSES
SD
Enumeration date
08/14/2012
Last updated
11/21/2025
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