Individual
LISA MARIE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT. DN
Contact information
Practice address
11916 HIGHWAY 707 STE C, MURRELLS INLET, SC 29576-9610
(843) 314-3224
(843) 314-3596
Mailing address
PO BOX 2397, PAWLEYS ISLAND, SC 29585-2397
(843) 235-0200
(843) 235-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q527157906
MEDICARE PTAN
SC
01
—
Q527159403
MEDICARE PTAN
SC
01
—
Q52715A382
MEDICARE PTAN
SC
01
—
Q52715C630
MEDICARE PTAN
SC
01
—
Q52715E293
MEDICARE PTAN
SC
01
—
Q52715F404
MEDICARE PTAN
SC
Enumeration date
11/12/2015
Last updated
01/12/2026
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