Individual
ELIZABETH GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 FORTRESS DR, INMAN, SC 29349-9160
(864) 814-1357
(864) 814-1357
Mailing address
628 NICHOLE PL, GREER, SC 29651-5299
(864) 895-4174
(864) 814-1357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10230
FL
225100000X
Physical Therapist
24442-1
NY
225100000X
Physical Therapist
Primary
5198
SC
225100000X
Physical Therapist
7183
CT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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