Individual
SHANNON LEE DONOHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4720 GREY MOSS DR, CLOVER, SC 29710-8706
(803) 240-5502
Mailing address
920 LANDER DR UNIT 210, FORT MILL, SC 29708-8184
(315) 532-5803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10521
SC
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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