Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS STACEY RENA VANDALL, PTA
ActiveMISS STACEY RENA VANDALL, PTA is a Occupational Therapist healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1679786313 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1679786313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.226023767572 yrs)
- Last Updated
- Sep 30, 2016
- License
-
1504 (SC)
Practice Information
- Address
-
455 SUNNEHANNA DRBOX 384MYRTLE BEACH, SC, 295885365Browse SC providers · Browse ZIP 29588
- Phone
- 8433404478
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| SANDRA ELIZABETH VORP | P.T.A. | 1821028085 |
| MELESSA BARNHILL | — | 1669582383 |
| MRS. AMY A MATHNEY | P.T.A. | 1679612279 |
| MELINA LEA MILLER | PTA | 1689981870 |
| ADAM KENDIG | PTA | 1619284643 |
| MISS LAUREN MARY HEPLER | PTA | 1265721252 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.