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1730943739
WILSON LANE TEN PAS
SIMPSONVILLE, SC
NPI
1730943739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-02-09
Last Update Date
2024-02-20
Business Address
WILSON LANE TEN PAS DPT
727 SE MAIN ST STE 200
SIMPSONVILLE, SC 29681-3262
Phone number: 864-999-3831
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Mailing Address
WILSON LANE TEN PAS DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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