Willoughby, Stacie Michelle

Willoughby, Stacie Michelle is an individual health care provider with primary practice located at 2880 Tricom St Ste B , North Charleston SC 29406-9171. 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. Willoughby, Stacie Michelle can be contacted via phone (843) 553-6343.

Contact Information

Primary practice address
2880 Tricom St Ste B North Charleston SC 29406-9171
Phone: (843) 553-6343
Fax: (843) 553-6404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1922 South Carolina

Profile Details

NPI number 1528132347
LBN Legal business name Willoughby, Stacie Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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