Individual
MRS. SHANNON RAYBON MCCASLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
364 CHURCH RD, BEECH ISLAND, SC 29842-8344
(803) 867-3346
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SC2546
SC
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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