SHASTA DAWN VANCE

GREENVILLE, SC
NPI1568800415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  3350)
Enumeration Date2013-06-12
Last Update Date2013-06-12
Business Address
-- SHASTA DAWN VANCE OT
: 21 MCBETH STREET GREENVILLE
GREENVILLE, SC 29611
Phone number: 410-889-0727
Mailing Address
-- SHASTA DAWN VANCE OT
416 E 30TH ST
BALTIMORE, MD 21218-3934
Phone number: 410-889-0727
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