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Individual

ANGELA STOUT THREETHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 234-7654
Mailing address
PO BOX 631341, CINCINNATI, OH 45263-1341

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09487R
LA
225100000X
Physical Therapist
Primary
8545
SC
225100000X
Physical Therapist
T012547
GA

Other

Enumeration date
11/18/2016
Last updated
03/23/2023
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