Individual
SAM A SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
145 RIVER LANDING DR UNIT 101A, DANIEL ISLAND, SC 29492-8612
(843) 834-6406
Mailing address
145 RIVER LANDING DR UNIT 101A, DANIEL ISLAND, SC 29492-8612
(843) 834-6406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040635
NY
225100000X
Physical Therapist
Primary
10325
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10325
SC STATE LICENSE
SC
Enumeration date
07/18/2017
Last updated
01/09/2023
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