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1689779183
DIANE BRACKEN FUNDERBURK
GREENWOOD, SC
NPI
1689779183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 913)
Enumeration Date
2006-09-13
Last Update Date
2015-07-17
Business Address
MRS. DIANE BRACKEN FUNDERBURK DPT
437 E CAMBRIDGE AVE
GREENWOOD, SC 29646-2244
Phone number: 864-330-3000
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Mailing Address
MRS. DIANE BRACKEN FUNDERBURK DPT
804 ROCK HOUSE RD
GREENWOOD, SC 29646-7627
Phone number: 864-993-4777
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