Individual
STEPHANIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 HARDEN ST, COLUMBIA, SC 29203-7107
(803) 737-5372
Mailing address
2414 BULL ST, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
743
SC
Other
Enumeration date
09/19/2012
Last updated
10/11/2012
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