Individual
STEPHANIE VICTORIA NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
128 DRIFTWOOD DR, LEXINGTON, SC 29072-9729
(803) 586-7276
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4928
SC
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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