Individual
SHANNON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 250-6833
Mailing address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 250-6833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5610
SC
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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