Individual
KELLY STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 COFFIELD DR, GREER, SC 29650-4158
(864) 906-1999
Mailing address
504 COFFIELD DR, GREER, SC 29650-4158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5934
SC
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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