Individual
LUKE BOALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9768 WARREN H ABERNATHY HWY UNIT A, SPARTANBURG, SC 29301-5201
(864) 560-2663
Mailing address
1241 PALADIN FALLS CIR APT 210, DUNCAN, SC 29334-7620
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11837
SC
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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