Individual
STEPHANEY SMITH-ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 S RON MCNAIR BLVD STE B, LAKE CITY, SC 29560-3831
(843) 210-3082
(843) 210-3051
Mailing address
900 S IRBY ST # 501, FLORENCE, SC 29501-5239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
824
SC
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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