Shannon Baker Easingwood, PTA
NPI #1003404583 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1003404583
- Entity Type
- Individual
- Name
- Shannon Baker Easingwood, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 9, 2021
- Last Updated
- Jan 9, 2021
Practice Location
- Address
- 101 BRIGHTWATER DR
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-8275
- Phone
- (843) 903-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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