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Individual

MS. SANDRA LYNN MOREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
842 PINEHURST LN UNIT 88D, PAWLEYS ISLAND, SC 29585-6813
(843) 458-3040
Mailing address
842 PINEHURST LN UNIT 88D, PAWLEYS ISLAND, SC 29585-6813
(843) 458-3040

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1912
SC

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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