Individual
COURTNEY STAUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
109 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 256-4107
Mailing address
1001 TRUE ST APT 516, COLUMBIA, SC 29209-1749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12740
SC
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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