Individual
LAURA SPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 ASHLEY CROSSING DRIVE, CHARLESTON, SC 29414
(843) 766-5228
Mailing address
2230 ASHLEY CROSSING DRIVE, CHARLESTON, SC 29414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1694
SC
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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