Organization
PROSPER AND THRIVE PELVIC HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY LATRELL STEGALL PT, DPT, WCS (OWNER/PHYSICAL THERAPIST)
(803) 201-9564
Entity
Organization
Contact information
Practice address
1112 CAMBRIDGE OAKS DR, COLUMBIA, SC 29223-5345
(803) 201-9564
Mailing address
1112 CAMBRIDGE OAKS DR, COLUMBIA, SC 29223-5345
(803) 201-9564
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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