Individual
TERESA BETH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
310 BARNWELL AVE NE, AIKEN, SC 29801-4406
(803) 641-4144
(803) 641-4147
Mailing address
1805 BYRNES RD, NORTH AUGUSTA, SC 29841-2034
(803) 279-7512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1292
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0015
—
SC
Enumeration date
01/08/2008
Last updated
01/08/2008
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