Organization
DYNAMIC DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MICHELLE WYONT (PRESIDENT)
(843) 230-2715
Entity
Organization
Contact information
Practice address
2461 S HALLMARK DR, FLORENCE, SC 29505-3911
(843) 230-2715
(843) 662-1236
Mailing address
2461 S HALLMARK DR, FLORENCE, SC 29505-3911
(843) 230-2715
(843) 662-1236
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2106
SC
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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