Individual
SHANELLE NATALIE BALFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
1620 BROUGHTON ST, ORANGEBURG, SC 29115-4867
(803) 534-4050
(803) 534-0408
Mailing address
154 LOWER CHEROKEE RD, NEESES, SC 29107-9546
(904) 392-1150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6055
SC
225X00000X
Occupational Therapist
Primary
3598
SC
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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