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1104656768
LEANNE HIVELY
SUMMERVILLE, SC
NPI
1104656768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 12560)
Enumeration Date
2024-08-07
Last Update Date
2024-11-04
Business Address
LEANNE HIVELY PT
5500 FRONT ST # 203
SUMMERVILLE, SC 29486-8137
Phone number: 843-879-4060
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Mailing Address
LEANNE HIVELY PT
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-572-7727
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