Individual
BETHANY D STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9263 MEDICAL PLAZA DR, STE D, CHARLESTON, SC 29406-7109
(843) 302-8845
(832) 569-5872
Mailing address
PO BOX 118008, N CHARLESTON, SC 29423-8008
(843) 302-8845
(843) 569-5872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5211
SC
Other
Enumeration date
07/12/2012
Last updated
07/14/2012
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