Individual
MICHELE JANAE SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1127 QUEENSBOROUGH BLVD, SUITE 104, MT PLEASANT, SC 29464-5431
(843) 216-0290
(843) 216-2445
Mailing address
PO BOX 1753, MT PLEASANT, SC 29465-1753
(843) 216-0290
(843) 216-2445
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4189
SC
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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