Individual
MRS. SHELLY LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10626 CLEMSON BLVD, SENECA, SC 29678-4526
(864) 482-0085
Mailing address
799B POWDERSVILLE RD, EASLEY, SC 29642-1963
(864) 859-5851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2161
SC
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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