STACEY LYNNE SUMMEROUR

WEST COLUMBIA, SC
NPI1043406234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1894)
Enumeration Date2007-09-20
Last Update Date2007-09-20
Business Address
-- STACEY LYNNE SUMMEROUR
100 JOSEPH WALKER DR
WEST COLUMBIA, SC 29169-6939
Phone number: 803-936-0310
Mailing Address
-- STACEY LYNNE SUMMEROUR
100 JOSEPH WALKER DR
WEST COLUMBIA, SC 29169-6939
Phone number: 803-936-0310
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