Individual
MR. LYNN DORRIS EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1885 RIFLE RANGE RD, MT. PLEASANT, SC 29464
(843) 856-4724
Mailing address
642 LEISURE LANE, MT. PLEASANT, SC 29464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53
SC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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