Individual
AMY SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9565 HIGHWAY 78 BLDG 700, LADSON, SC 29456-4116
(843) 513-7746
Mailing address
1508 HERON AVE, MOUNT PLEASANT, SC 29464-3906
(843) 513-7746
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5487
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14084422
CAQH
—
05
—
TH3690
—
SC
Enumeration date
08/04/2017
Last updated
11/17/2025
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