Individual
MS. ELIZABETH R STAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
410 FOILAGE CT, LAKE WYLIE, SC 29710-8838
(386) 872-8029
Mailing address
103 HICKORY MILL CT, LAKE WYLIE, SC 29710-8805
(803) 981-4394
(803) 746-5501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7152
SC
Other
Enumeration date
02/13/2014
Last updated
11/04/2019
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