Individual
MICHAEL SHANE BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
610 W PALMETTO ST, FLORENCE, SC 29501-4302
(843) 407-0377
(843) 799-1944
Mailing address
PO BOX 6526, COLUMBIA, SC 29260-6526
(803) 693-5040
(803) 993-9472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7644
SC
Other
Enumeration date
09/04/2019
Last updated
06/27/2023
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