Individual
SHANE ENSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 SCENIC VIEW RD, CHESNEE, SC 29323-9434
(864) 357-7127
Mailing address
223 SCENIC VIEW RD, CHESNEE, SC 29323-9434
(864) 357-7127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2700
SC
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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