MISS Mary Louise Perry, LPTA

NPI #1013099688 in Columbia, South Carolina

Provider Information

NPI Number: 1013099688
Entity Type: Individual
Name: MISS Mary Louise Perry, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LPTA
Enumeration Date: Oct 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 720 RABON RD
City: Columbia
State: South Carolina
ZIP Code: 29203-8900
Phone: (803) 462-0423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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