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1154888964
SHANE TYLER CONWAY
ROCK HILL, SC
NPI
1154888964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 10068)
Enumeration Date
2019-02-28
Last Update Date
2020-03-12
Business Address
SHANE TYLER CONWAY DPT
197 PIEDMONT BLVD STE 214
ROCK HILL, SC 29732-1846
Phone number: 803-909-6447
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Mailing Address
SHANE TYLER CONWAY DPT
4601 PARK RD STE 300
CHARLOTTE, NC 28209-2290
Phone number: 704-323-2248
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