Individual
MRS. SHANAE L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1616 RABON FARMS LN, COLUMBIA, SC 29223-5879
(803) 270-9556
Mailing address
1616 RABON FARMS LN, COLUMBIA, SC 29223-5879
(803) 401-1354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6464
SC
Other
Enumeration date
12/05/2011
Last updated
01/25/2021
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