Individual
DIANE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 LADYS ISLAND DR, BEAUFORT, SC 29907
(843) 521-2298
Mailing address
25 BRICKMAN WAY, BEAUFORT, SC 29907-1366
(978) 235-0426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2978
MA
225100000X
Physical Therapist
Primary
6720
SC
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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