Individual
BROOKE LANE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8536 PALMETTO COMMERCE PKWY # 207A, LADSON, SC 29456-6700
(843) 402-7000
Mailing address
1600 LONG GROVE DR UNIT 925, MOUNT PLEASANT, SC 29464-7450
(843) 446-5004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.11998
SC
Other
Enumeration date
08/07/2023
Last updated
11/09/2024
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