Judie M Sto Domingo, | |
1021 Cheraw Street, Bennettsville, SC 29512 | |
(843) 454-9000 | |
(843) 454-9001 |
Full Name | Judie M Sto Domingo |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 1021 Cheraw Street, Bennettsville, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326073685 | NPI | - | NPPES |
TH1257 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2904 (South Carolina) | Primary |
Provider Name | Marlboro Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457380123 PECOS PAC ID: 6507819414 Enrollment ID: O20050302000741 |
Mailing Address | Practice Location Address |
---|---|
Judie M Sto Domingo, 1021 Cheraw Street, Bennettsville, SC 29512 Ph: (843) 454-9000 | Judie M Sto Domingo, 1021 Cheraw Street, Bennettsville, SC 29512 Ph: (843) 454-9000 |
Division Of Special Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 922 Broad Street, Bennettsville, SC 29512 Phone: 843-454-2038 Fax: 843-479-9680 | |
Marlboro Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 1021 Cheraw St, Bennettsville, SC 29512 Phone: 843-454-9000 Fax: 843-454-9001 | |
Jackilyn Marie Kleckner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Jefferson St, Bennettsville, SC 29512 Phone: 843-479-5936 | |
Ms. Winninah Camania Calderon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1021 Cheraw St, Bennettsville, SC 29512 Phone: 843-454-9000 Fax: 843-454-9001 | |
Heidi Christensen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Matheson St, Bennettsville, SC 29512 Phone: 843-454-2038 Fax: 843-479-9680 |