Individual
MARTHA STILWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
829 PINCKNEY ST, MC CLELLANVILLE, SC 29458-9744
(803) 315-5585
Mailing address
PO BOX 611, MC CLELLANVILLE, SC 29458-0611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4079
SC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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