DIANE LODGE, PT
Physical Therapist
Active
Individual
NPI: 1083712590
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 2288 (SC) |
Frequently Asked Questions
NPI 1083712590 is the National Provider Identifier for DIANE LODGE, PT, a Physical Therapist provider located in Summerville, SC. This NPI was enumerated on September 20, 2006.
DIANE LODGE, PT practices at 950 TRAVELERS BLVD, Summerville, SC 29485.
Quick Facts
- NPI
- 1083712590
- Type
- Individual
- Enumerated
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
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