DR. Lewis Edward Gore III, PT, DPT
NPI #1811473390 in Fairfax, South Carolina
Provider Information
- NPI Number
- 1811473390
- Entity Type
- Individual
- Name
- DR. Lewis Edward Gore III, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Jul 17, 2018
- Last Updated
- Jul 17, 2018
Practice Location
- Address
- 1787 ALLENDALE FAIRFAX HWY
- City
- Fairfax
- State
- South Carolina
- ZIP Code
- 29827-9133
- Phone
- (803) 632-3421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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