Individual
KELLY LYNN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
933 COCHRAN ST, DANIEL ISLAND, SC 29492-7577
(240) 447-5226
Mailing address
933 COCHRAN ST, DANIEL ISLAND, SC 29492-7577
(240) 447-5226
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10557
SC
Other
Enumeration date
07/30/2008
Last updated
09/27/2021
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