Individual
MS. SUZANNA YUKIE SHINTAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4229 DIXON RD, ANDERSON, SC 29625-5204
(864) 940-3020
Mailing address
4229 DIXON RD, ANDERSON, SC 29625-5204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5175
SC
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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