Individual
SHAWN MCGOOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2989 SUNSET BLVD, WEST COLUMBIA, SC 29169-3497
(803) 791-1136
Mailing address
121 PIN OAK CT, LEXINGTON, SC 29073-7911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2458
SC
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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