Individual
MRS. ANDREA LA-SHUNN GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
2498 N PLEASANTBURG DR STE A, GREENVILLE, SC 29609-2730
(864) 603-1419
(864) 603-1414
Mailing address
2498 N PLEASANTBURG DR STE A, GREENVILLE, SC 29609-2730
(864) 603-1419
(864) 603-1414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/12/2009
Last updated
04/27/2026
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