Individual
LAURA ELIZABETH TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
Mailing address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8622
SC
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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