STACIE MICHELLE WILLOUGHBY

NORTH CHARLESTON, SC
NPI1528132347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1922)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- STACIE MICHELLE WILLOUGHBY
2880 TRICOM ST STE B
NORTH CHARLESTON, SC 29406-9171
Phone number: 843-553-6343
Mailing Address
-- STACIE MICHELLE WILLOUGHBY
182 ANTEBELLUM WAY
SUMMERVILLE, SC 29483-8147
Phone number:
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