Individual
LILY SARA WAITSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
1400 W GEORGIA RD STE 400, SIMPSONVILLE, SC 29680-6970
(864) 757-3053
(864) 920-5122
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15182
NC
225100000X
Physical Therapist
Primary
7735
SC
Other
Enumeration date
08/18/2014
Last updated
07/15/2024
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