Individual
MRS. LISA JUNE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
352 ASA ROSE LN, LEXINGTON, SC 29072-6401
(803) 360-6832
Mailing address
352 ASA ROSE LN, LEXINGTON, SC 29072-6401
(803) 360-6832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4161
SC
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
SC
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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