Doctor Name: | MRS. STEPHANIE NICOLE MARTINO |
NPI Number: | 1326288341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5196 |
Business Practice Address: | 1710 Old Trolley Rd Summerville, SC - 294858281 |
Business Phone Number: | 8438717116 |
Business Fax Number: | |
Mailing Address: | 109 Tandil Ct, SUMMERVILLE |
State: | SC |
Postal Code: | 294838429 |
Phone Number: | 8434868854 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 03/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |