Individual
MATTHEW RYAN SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
885 ISLAND PARK DR STE C, DANIEL ISLAND, SC 29492-8392
(843) 860-9895
Mailing address
265 SAINT MARGARET ST, CHARLESTON, SC 29403-3542
(843) 860-9895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.9863
SC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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