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NPI Code Detail

MEDICARE: ASIA LAWSON PTA

MEDICARE: ASIA LAWSON PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant4339SC

General Provider Information

NPI Number : 1225899123
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASIA LAWSON PTA
Provider Business Mailing Address
First Line : 516 CALEDON CT
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3142
Country : US
Telephone Number : 864-426-8983
Fax Number :
Provider Business Practice Location Address
First Line : 661 RUTHERFORD RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29609-4640
Country : US
Telephone Number : 864-232-2442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2024
Last Update Date : 01/17/2024

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