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Individual

KIMBERLY RENEE STOLTZFUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
2061 HIGHWAY 52, MONCKS CORNER, SC 29461-5017
(843) 761-1482
(843) 761-1483
Mailing address
2061 HIGHWAY 52, MONCKS CORNER, SC 29461-5017
(843) 761-1482
(843) 761-1483

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8516
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000287446
AMERICHOICE
05
101978171-0002
PA
01
1979915
FREEDOM BLUE
PA
01
2857469000
IBC
PA
01
30068871
KEYSTONE MERCY
PA
01
306078
UNISON
01
50087547
CAPITAL BLUE CROSS
PA
Enumeration date
08/22/2007
Last updated
08/19/2025
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