Individual
STEPHANIE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BRIGHTON CIR, CHARLESTON, SC 29414-5449
(423) 526-8344
Mailing address
10 BRIGHTON CIR, CHARLESTON, SC 29414-5449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9565
TN
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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