Organization
STEPPING STONES PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL RENEE WINTER (PHYSICAL THERAPIST)
(518) 461-1070
Entity
Organization
Contact information
Practice address
3009 MASON CT, LAKE WYLIE, SC 29710-8106
(803) 631-5485
(803) 631-5483
Mailing address
3009 MASON CT, LAKE WYLIE, SC 29710-8106
(803) 631-5485
(803) 631-5483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5372
SC
225X00000X
Occupational Therapist
3233
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1740
—
SC
Enumeration date
10/26/2010
Last updated
03/10/2011
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