Individual
SHANE TYLER CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
197 PIEDMONT BLVD STE 214, ROCK HILL, SC 29732-1846
(803) 909-6447
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10068
SC
Other
Enumeration date
02/28/2019
Last updated
03/12/2020
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