SAMUEL C SHANNON

BLYTHEWOOD, SC
NPI1871210039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  4846)
Enumeration Date2022-10-27
Last Update Date2022-10-27
Business Address
Mr. SAMUEL C SHANNON PTA
420B MCNULTY ST
BLYTHEWOOD, SC 29016-8786
Phone number: 803-728-0421
Mailing Address
Mr. SAMUEL C SHANNON PTA
420B MCNULTY ST
BLYTHEWOOD, SC 29016-8786
Phone number: 803-728-0421
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