Individual
SUSANNE SHAW JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2005 E GREENVILLE ST STE 119, ANDERSON, SC 29621-1575
(864) 964-0505
Mailing address
607 VISAGE DR, ANDERSON, SC 29626-4054
(864) 934-1837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10059
SC
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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