Individual
MS. SHANNON RAENELL LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 419-0431
(803) 419-0338
Mailing address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 419-0431
(803) 419-0338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5833
SC
Other
Enumeration date
03/27/2011
Last updated
03/27/2011
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