Individual
SHANNON COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1988 HAIRE RD, FORT MILL, SC 29715-8807
(803) 548-9113
(803) 548-9116
Mailing address
1988 HAIRE RD, FORT MILL, SC 29715-8807
(803) 548-9113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6115
SC
Other
Enumeration date
03/30/2021
Last updated
04/20/2021
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