| Doctor Name: | MS. STEPHANIE LISA MCNULTY |
| NPI Number: | 1841540622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 5829 |
| Business Practice Address: | 1203 N 3rd St Folkston, GA - 315371303 |
| Business Phone Number: | 9124967842 |
| Business Fax Number: | 9124964617 |
| Mailing Address: | Po Box 949, ROME |
| State: | GA |
| Postal Code: | 301620949 |
| Phone Number: | 7062362774 |
| Fax Number: | 7062362783 |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5829 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |