MR. Samuel C Shannon, PTA
NPI #1871210039 in Blythewood, South Carolina
Provider Information
- NPI Number
- 1871210039
- Entity Type
- Individual
- Name
- MR. Samuel C Shannon, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 27, 2022
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 420B MCNULTY ST
- City
- Blythewood
- State
- South Carolina
- ZIP Code
- 29016-8786
- Phone
- (803) 728-0421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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