Provider Demographics
NPI:1790415396
Name:STONE, ABBEY LYNN (DPT)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:LYNN
Last Name:STONE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:LYNN
Other - Last Name:VELASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2811 W PALMETTO ST STE D
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5931
Mailing Address - Country:US
Mailing Address - Phone:843-407-7010
Mailing Address - Fax:843-407-7814
Practice Address - Street 1:2811 W PALMETTO ST STE D
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5931
Practice Address - Country:US
Practice Address - Phone:843-407-7010
Practice Address - Fax:843-407-7814
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist