Brooke Lane Richardson, DPT | |
8536 Palmetto Commerce Pkwy # 207a, Ladson, SC 29456-6700 | |
(843) 402-7000 | |
Not Available |
Full Name | Brooke Lane Richardson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 8536 Palmetto Commerce Pkwy # 207a, Ladson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487337556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT.11998 (South Carolina) | Primary |
Provider Name | Profection Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750743506 PECOS PAC ID: 5597058594 Enrollment ID: O20160728001623 |
Mailing Address | Practice Location Address |
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Brooke Lane Richardson, DPT 1600 Long Grove Dr Unit 925, Mount Pleasant, SC 29464-7450 Ph: (843) 446-5004 | Brooke Lane Richardson, DPT 8536 Palmetto Commerce Pkwy # 207a, Ladson, SC 29456-6700 Ph: (843) 402-7000 |
Kia Denae Monts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Jessica Kelly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 | |
Chelsea Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 105, Ladson, SC 29456 Phone: 888-510-6369 Fax: 888-510-5362 | |
Caroline Moseley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Rachel Lange, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 | |
Maegan Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Bldg 700, Ladson, SC 29456 Phone: 843-569-4546 | |
Marissa Slate, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 102, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 |