Individual
MRS. LISA MARIE LANDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(864) 286-6600
Mailing address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(864) 286-6600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2706
SC
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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