Individual
MS. JODIE ROBERTA LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(803) 835-7000
Mailing address
1804 TIPPAH AVE, CHARLOTTE, NC 28205-3049
(843) 862-1719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2742
SC
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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