Diane M Lodge, PT
NPI #1083712590 in Summerville, South Carolina
Provider Information
- NPI Number
- 1083712590
- Entity Type
- Individual
- Name
- Diane M Lodge, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 950 TRAVELERS BLVD
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29485-8213
- Phone
- (843) 832-8481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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