Shannon E Brockwell, PTA
NPI #1083945216 in North Augusta, South Carolina
Provider Information
- NPI Number
- 1083945216
- Entity Type
- Individual
- Name
- Shannon E Brockwell, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 28, 2010
- Last Updated
- Apr 19, 2010
Practice Location
- Address
- 401 W MARTINTOWN RD
- Address 2
- SUITE 169
- City
- North Augusta
- State
- South Carolina
- ZIP Code
- 29841-3194
- Phone
- (803) 441-0025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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