SHANNON SOUTHERLAND

MYRTLE BEACH, SC
NPI1023700051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2023-05-26
Last Update Date2023-05-26
Business Address
SHANNON SOUTHERLAND
5000 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29588-4500
Phone number: 843-252-0033
Mailing Address
SHANNON SOUTHERLAND
5000 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29588-4500
Phone number:
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