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Individual

STEPHEN LEE BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
10216 BROAD RIVER RD, IRMO, SC 29063-9679
(803) 973-1717
(803) 462-5804
Mailing address
1105 12TH ST, CAYCE, SC 29033-3304
(803) 973-0100
(803) 973-0117

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12367
SC

Other

Enumeration date
06/10/2024
Last updated
06/10/2024
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