DIANE M LODGE

SUMMERVILLE, SC
NPI1083712590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  2288)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- DIANE M LODGE PT
950 TRAVELERS BLVD
SUMMERVILLE, SC 29485-8213
Phone number: 843-832-8481
Mailing Address
-- DIANE M LODGE PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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