Individual
SHEA SKORUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, SCAT
Contact information
Practice address
2580 MCCRAYS MILL RD, SUMTER, SC 29154-6028
(803) 481-4480
Mailing address
630 BIRKDALE CIR, APARTMENT #33, SUMTER, SC 29154-6324
(904) 651-7015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1669
SC
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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