Lynn S Destefano, PT | |
1 Bishop Gadsden Way, Charleston, SC 29412-3506 | |
(843) 406-6302 | |
(843) 406-6540 |
Full Name | Lynn S Destefano |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 35 Years |
Location | 1 Bishop Gadsden Way, Charleston, 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 |
---|---|---|---|
1699794164 | NPI | - | NPPES |
650024090 | Other | SC | PHYSICAL THERAPIST/ RR# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1480 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olympic Physical Therapy Llc | 6800856428 | 7 |
Provider Name | Olympic Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710060868 PECOS PAC ID: 6800856428 Enrollment ID: O20041018000427 |
Mailing Address | Practice Location Address |
---|---|
Lynn S Destefano, PT 1476 Long Grove Dr, Ste 1, Mt Pleasant, SC 29464-7571 Ph: (843) 406-6302 | Lynn S Destefano, PT 1 Bishop Gadsden Way, Charleston, SC 29412-3506 Ph: (843) 406-6302 |
Mrs. Sarah Amy Fox Maurer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-266-1540 Fax: 843-266-1567 | |
Mr. Bruce Alan Reeves, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave, Room, 3sw Wing, Charleston, SC 29425 Phone: 843-792-3481 Fax: 843-792-0724 | |
Mark L Pilon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Bishop Gadsden Way, Charleston, SC 29412 Phone: 843-406-6302 Fax: 843-406-6540 | |
Gabriel Mattson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407 Phone: 843-576-4121 Fax: 843-793-3575 | |
Pluff Mud Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1849 Capri Dr, Charleston, SC 29407 Phone: 843-270-8505 | |
Volk Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 96 Rutledge Ave Apt E, Charleston, SC 29401 Phone: 704-575-6541 | |
Dr. Caitlin Mary Keller, PT, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Mcclennan Banks Dr, Charleston, SC 29401 Phone: 843-985-2128 |