Individual
MISS BRANDI NICOLE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(864) 933-3050
Mailing address
104 KINGSTON WAY, ANDERSON, SC 29625-5230
(864) 224-8076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4025
SC
Other
Enumeration date
10/22/2012
Last updated
04/30/2025
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