| Southern Lakes Therapy,llc | |
|
297 W Boyce St, Manning, SC 29102 | |
| (803) 433-9001 | |
| (803) 433-9001 |
| Full Name | Southern Lakes Therapy,llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 297 W Boyce St, Manning, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700212420 | NPI | - | NPPES |
| Provider Name | Jessica T Mcleod |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699086819 PECOS PAC ID: 0446384986 Enrollment ID: I20100818001311 |
| Provider Name | Erica J Hodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194158675 PECOS PAC ID: 5991931073 Enrollment ID: I20131119001791 |
| Provider Name | Stepheni N Witherspoon Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053778282 PECOS PAC ID: 2567760861 Enrollment ID: I20160420001435 |
| Provider Name | Kristie Lee Nickerson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851773071 PECOS PAC ID: 2860752201 Enrollment ID: I20180205000872 |
| Provider Name | Elizabeth Pittman Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891075842 PECOS PAC ID: 8628338662 Enrollment ID: I20180212001784 |
| Provider Name | Cecelia Thorne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245771237 PECOS PAC ID: 0941542302 Enrollment ID: I20190506000013 |
| Provider Name | Dorothy B Doyle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932536448 PECOS PAC ID: 1658703145 Enrollment ID: I20191121002961 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Lakes Therapy,llc 297 W Boyce St, Manning, SC 29102-3004 Ph: (803) 433-9001 | Southern Lakes Therapy,llc 297 W Boyce St, Manning, SC 29102 Ph: (803) 433-9001 |
Stepheni Witherspoon Edwards, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 297 W Boyce St, Manning, SC 29102 Phone: 803-433-9001 | |
Mrs. Erica Jones Hodge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 N Brooks St, Manning, SC 29102 Phone: 803-433-9001 | |
Stephanie A Hite, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 N Brooks St, Manning, SC 29102 Phone: 803-433-9001 Fax: 803-433-9002 | |
Dr. Taylor Jordon Mcfaddin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 297 W Boyce St, Manning, SC 29102 Phone: 803-433-9001 | |
Lakeview Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brooks St, Manning, SC 29102 Phone: 803-433-9001 Fax: 803-433-9002 | |
Elizabeth Emmons Moulton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 E Hospital St, Manning, SC 29102 Phone: 843-435-3162 | |
Dr. Casey R. Amato, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-435-3162 |