Southern Lakes Therapy LLC

NPI #1700212420 in Manning, South Carolina

Provider Information

NPI Number
1700212420
Entity Type
Organization
Organization Name
Southern Lakes Therapy LLC
Primary Specialty
Physical Therapist
Enumeration Date
Sep 26, 2013
Last Updated
Aug 12, 2025

Practice Location

Address
297 W BOYCE ST
ZIP Code
29102
Phone
(803) 433-9001

Authorized Official

Name
HEATHER JOHNSON GOFF
Title
COOWNER
Phone
(803) 433-9001

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Physical Therapy Assistant
Occupational Therapist
Speech-Language Pathologist

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