Individual
KRISTEN HUBBARD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
142 SPORTSMAN ISLAND DR STE E, CHARLESTON, SC 29492-8524
(843) 696-2174
Mailing address
142 SPORTSMAN ISLAND DR STE E, CHARLESTON, SC 29492-8524
(843) 696-2174
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
9818
SC
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
02/27/2025
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