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Individual

MRS. SHANNON ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1075 BAYSHORE DR, ROCK HILL, SC 29732-1569
(803) 327-8655
(803) 327-8664
Mailing address
3790 DOVE TREE LN, ROCK HILL, SC 29732-8731
(803) 324-5205

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
383
SC

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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