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Individual

MS. LYNN YADEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1522 CEDAR AVE, MONCKS CORNER, SC 29461-9229
(843) 761-3647
Mailing address
1522 CEDAR AVE, MONCKS CORNER, SC 29461-9229
(843) 761-3647

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1611
SC

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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