Individual
SHAYLA DEARBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
201 JOHN PRIDGEN LN, WARSAW, NC 28398-8587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP049700T
SC
225100000X
Physical Therapist
P23873
NC
Other
Enumeration date
02/25/2025
Last updated
10/02/2025
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