Individual
MR. SHAWN MICHEAL MINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-7620
Mailing address
449 N WENDOVER RD, STE B, CHARLOTTE, NC 28211-1064
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9416
NC
Other
Enumeration date
02/25/2007
Last updated
04/07/2016
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