Individual
MARCIA TRAVISS STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
151 RIBAULT ST, SPARTANBURG, SC 29302-2630
(864) 560-2878
Mailing address
1266 KNOLLWOOD ACRES RD, BOILING SPGS, SC 29316-5459
(864) 706-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4104
SC
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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