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NPI Code Detail

MEDICARE: MRS. STELLA THERESA WAY PT

MEDICARE: MRS. STELLA THERESA WAY 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
1225100000XPhysical Therapist0065331NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992767123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STELLA THERESA WAY PT
Provider Business Mailing Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 864-437-8930
Fax Number : 864-437-8990
Provider Business Practice Location Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 864-437-8930
Fax Number : 864-437-8990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 03/18/2015

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Directions to “ MRS. STELLA THERESA WAY PT” Practice Location

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