Individual
MR. LYLE LOUIS OLDFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1019 TIGER BLVD, CLEMSON, SC 29631-2916
(864) 654-0431
(864) 654-0799
Mailing address
107 HIGHBOURNE CT, EASLEY, SC 29642-7721
(864) 855-5521
(864) 855-5521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1913
SC
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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