MISS STACEY VANDALL, PTA

Physical Therapy Assistant

Active Individual
NPI: 1679786313

Practice Address

455 SUNNEHANNA DR
BOX 384
Myrtle Beach, SC 29588

Phone: (843) 340-4478

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 1504 (SC)

Frequently Asked Questions

NPI 1679786313 is the National Provider Identifier for MISS STACEY VANDALL, PTA, a Physical Therapy Assistant provider located in Myrtle Beach, SC. This NPI was enumerated on May 8, 2007.
MISS STACEY VANDALL, PTA practices at 455 SUNNEHANNA DR, BOX 384, Myrtle Beach, SC 29588.

Quick Facts

NPI
1679786313
Type
Individual
Enumerated
May 8, 2007
Last Updated
Sep 30, 2016

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