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1235671751
MARTHA SHANNON STEVENSON HOUCK
MOUNT PLEASANT, SC
NPI
1235671751
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Other Name
SHANNON STEVENSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 4279)
Enumeration Date
2016-11-15
Last Update Date
2017-03-31
Business Address
-- MARTHA SHANNON STEVENSON HOUCK MPT
586 LONE STREE DR
MOUNT PLEASANT, SC 29464-8170
Phone number: 843-884-7880
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Mailing Address
-- MARTHA SHANNON STEVENSON HOUCK MPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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