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Individual

DR. ANTHONY FREDERICK LAVIGNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 782-4278
(803) 253-8896
Mailing address
3424 SHELBY RAY CT, CHARLESTON, SC 29414-5838
(843) 402-7765
(843) 766-2943

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5977
SC

Other

Enumeration date
07/02/2009
Last updated
11/30/2012
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