Individual
STEPHEN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14323 OCEAN HWY STE 4142, PAWLEYS ISLAND, SC 29585-4817
(843) 455-4228
Mailing address
14323 OCEAN HWY STE 4142, PAWLEYS ISLAND, SC 29585-4817
(843) 455-4228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1881
SC
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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