Individual
REBECCA ANNE LAFORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 SAVAGE ROAD, SUITE 500C, CHARLESTON, SC 29407
(866) 571-2700
(877) 571-2124
Mailing address
5420 WOODBREEZE DRIVE, N. CHARLESTON, SC 29420-6857
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1846
SC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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