Individual
MR. ROBERT SAMUEL SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2043
Mailing address
1425 GOLF TERRACE BLVD, UNIT 2, FLORENCE, SC 29501-0315
(843) 773-8933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1427
SC
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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