Organization
STEPHENS CENTER, LLC
Active
Organization
STEPHENS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA JOHNSON (OWNER)
(803) 452-5770
Entity
Organization
Contact information
Practice address
687 N GUIGNARD DR, SUMTER, SC 29150-2436
(803) 452-5770
Mailing address
687 N GUIGNARD DR, SUMTER, SC 29150-2436
(803) 452-5770
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
SC
225XP0200X
Pediatric Occupational Therapist
Primary
—
SC
235Z00000X
Speech-Language Pathologist
—
SC
Other
Enumeration date
01/30/2008
Last updated
03/05/2008
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