Individual
MRS. SHELLY LAIN BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
245 STONE POND WAY, SENECA, SC 29678-5746
(864) 256-7010
Mailing address
245 STONE POND WAY, SENECA, SC 29678-5746
(864) 256-7010
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4815
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1494
—
SC
Enumeration date
05/14/2008
Last updated
03/11/2024
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