Your Life Wellness and Physical Therapy
NPI #1184973489 in Indian Land, South Carolina
Provider Information
- NPI Number
- 1184973489
- Entity Type
- Organization
- Organization Name
- Your Life Wellness and Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 31, 2012
- Last Updated
- Aug 31, 2012
Practice Location
- Address
- 7580 CHARLOTTE HWY
- Address 2
- SUITE 500
- City
- Indian Land
- State
- South Carolina
- ZIP Code
- 29707-7801
- Phone
- (803) 548-5662
Authorized Official
- Name
- MRS. LEE ANN GASTON, P. TL
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (803) 548-5662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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