Organization
SHORE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J SHORE RPT (OWNER)
(864) 224-6781
Entity
Organization
Contact information
Practice address
110 BUTTERCUP TRL, ANDERSON, SC 29621-4474
(864) 224-6781
Mailing address
110 BUTTERCUP TRL, ANDERSON, SC 29621-4474
(864) 224-6781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4041
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4273
—
SC
Enumeration date
01/11/2007
Last updated
06/21/2008
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