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:
Health care specialties
| Specialty | Code | License # | 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 9 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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