SHANNON BAKER EASINGWOOD

MYRTLE BEACH, SC
NPI1003404583
Professional NameSHANNON DENISE EASINGWOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  4530)
Enumeration Date2021-01-09
Last Update Date2021-01-09
Business Address
SHANNON BAKER EASINGWOOD PTA
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579-8275
Phone number: 843-903-8300
Mailing Address
SHANNON BAKER EASINGWOOD PTA
223 MAISON DR UNIT 8 BOX 32
MYRTLE BEACH, SC 29572
Phone number:
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