Individual
MEGAN KRISTINE SHANROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 E AUGUSTA PL, GREENVILLE, SC 29605-1755
(864) 991-8378
Mailing address
103 PIGEON PT, GREENVILLE, SC 29607-5834
(803) 242-2515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4929
SC
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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