Individual
MR. STEPHEN CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT PHYSICAL THERAPY
Contact information
Practice address
3401 SALTERBECK ST STE 104, MT PLEASANT, SC 29466-7168
(843) 364-7206
(843) 884-6635
Mailing address
1321 CROWN REACH, MT PLEASANT, SC 29466-7921
(843) 364-7206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
01
—
P00433096
RAILROAD MEDICARE
SC
05
—
TH0690
—
SC
Enumeration date
07/31/2006
Last updated
01/06/2023
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