Individual
AMY L STAFANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(864) 761-3430
Mailing address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(864) 761-3430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
031186
NY
225100000X
Physical Therapist
11428
NC
225100000X
Physical Therapist
Primary
6195
SC
Other
Enumeration date
01/17/2008
Last updated
01/30/2016
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