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1487337556
BROOKE LANE RICHARDSON
CHARLESTON, SC
NPI
1487337556
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Former Name
BROOKE ELIZABETH LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC PT.11998)
Enumeration Date
2023-08-07
Last Update Date
2024-07-11
Business Address
BROOKE LANE RICHARDSON DPT
445 SAVANNAH HWY
CHARLESTON, SC 29407-7207
Phone number: 843-766-2121
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Mailing Address
BROOKE LANE RICHARDSON DPT
445 SAVANNAH HWY
CHARLESTON, SC 29407-7207
Phone number: 843-766-2121
Copy
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