Individual
MRS. PAULA SLOVER SUTHARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
108 WEATHERBY CT, LEXINGTON, SC 29072-7639
(803) 315-1602
(803) 808-1141
Mailing address
108 WEATHERBY CT, LEXINGTON, SC 29072-7639
(803) 315-1602
(803) 808-1141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3412
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THO726
—
SC
Enumeration date
01/06/2006
Last updated
07/09/2007
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