Vandall, Stacey Rena

Vandall, Stacey Rena is an individual health care provider with primary practice located at 455 Sunnehanna Dr Box 384, Myrtle Beach SC 29588-5365. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Vandall, Stacey Rena can be contacted via phone (843) 340-4478.

Contact Information

Primary practice address
455 Sunnehanna Dr Box 384 Myrtle Beach SC 29588-5365
Phone: (843) 340-4478
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1504 South Carolina

Profile Details

NPI number 1679786313
LBN Legal business name Vandall, Stacey Rena
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Sep 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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