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1154782811
MARY THELMA STEWART
WEST COLUMBIA, SC
NPI
1154782811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1560)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
MARY THELMA STEWART PTA
3681 LEAPHART RD STE A
WEST COLUMBIA, SC 29169-3068
Phone number: 803-454-6090
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Mailing Address
MARY THELMA STEWART PTA
1624 MAIN ST
COLUMBIA, SC 29201-2818
Phone number: 803-730-8105
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