Individual
MS. STEPHANIE LYNN LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2006 PELHAM RD, GREENVILLE PLACE, GREENVILLE, SC 29615-4005
(864) 315-1865
Mailing address
2280 US-29 NORTH, WESLEY WOODS, NEWNAN, GA 30265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003698
GA
225200000X
Physical Therapy Assistant
3418
SC
225200000X
Physical Therapy Assistant
A3950
NC
Other
Enumeration date
03/07/2008
Last updated
03/17/2018
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