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Individual

DANA BRIDGES STOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
55 RIDGE RD, LYMAN, SC 29365-1710
(864) 381-1991
Mailing address
55 RIDGE RD, LYMAN, SC 29365-1710
(864) 381-1991

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2066
SC

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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