LAURA THEISMANN, MT-BC

Contractor

Active Individual
NPI: 1366792954

Practice Address

1931 BULL ST
Columbia, SC 29201

Phone: (678) 414-3042

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 09094 ()

Frequently Asked Questions

NPI 1366792954 is the National Provider Identifier for LAURA THEISMANN, MT-BC, a Contractor provider located in Columbia, SC. This NPI was enumerated on September 11, 2012.
LAURA THEISMANN, MT-BC practices at 1931 BULL ST, Columbia, SC 29201.

Quick Facts

NPI
1366792954
Type
Individual
Enumerated
Sep 11, 2012
Last Updated
Apr 24, 2013

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