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1487337556
BROOKE LANE RICHARDSON
LADSON, 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
2024-11-09
Business Address
BROOKE LANE RICHARDSON DPT
8536 PALMETTO COMMERCE PKWY # 207A
LADSON, SC 29456-6700
Phone number: 843-402-7000
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Mailing Address
BROOKE LANE RICHARDSON DPT
1600 LONG GROVE DR UNIT 925
MOUNT PLEASANT, SC 29464-7450
Phone number: 843-446-5004
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