NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205258423 |   |   |   | CLEMSON SPORTS MEDICINE AND REHABILITATION | PO BOX 1844 | CLEMSON | SC | 296331844 |
1699818070 | TAYLOR | MARGE | LAFLAMME |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |