MEDICARE: STEPHANIE A HITE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3790	SC

General Provider Information

NPI Number	:	1356340699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE A HITE PT

Provider Business Mailing Address
First Line	:	122 N BROOKS ST
Second Line	:
City	:	MANNING
State	:	SC
Zip	:	29102-3253
Country	:	US
Telephone Number	:	803-433-9001
Fax Number	:	803-433-9002

Provider Business Practice Location Address
First Line	:	122 N BROOKS ST
Second Line	:
City	:	MANNING
State	:	SC
Zip	:	29102-3253
Country	:	US
Telephone Number	:	803-433-9001
Fax Number	:	803-433-9002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	11/12/2009

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Directions to “ STEPHANIE A HITE PT” Practice Location

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