# STEPPING STONES PEDIATRIC THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386944106
- **Authorized official:** MRS. JILL RENEE WINTER (PHYSICAL THERAPIST)
- **Authorized official phone:** (518) 461-1070

## Contact information

- **Practice address:** 3009 MASON CT, LAKE WYLIE, SC 29710-8106
- **Practice address phone:** (803) 631-5485
- **Practice address fax:** (803) 631-5483
- **Mailing address:** 3009 MASON CT, LAKE WYLIE, SC 29710-8106
- **Mailing address phone:** (803) 631-5485
- **Mailing address fax:** (803) 631-5483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5372 | SC | Yes |
| 225X00000X | Occupational Therapist | 3233 | SC | — |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 03/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | TH1740 | — | SC |