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Individual

ANNA M SHUFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
1127 QUEENSBOROUGH BLVD, STE 104, MT PLEASANT, SC 29464-5431
(843) 216-0290
(843) 216-2445
Mailing address
725 HAWKSBILL CT, MT PLEASANT, SC 29464-5120
(843) 901-8454

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4067
SC

Other

Enumeration date
02/08/2013
Last updated
02/08/2013
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