Shelly Ann Bumgarner, PTA

NPI #1912177809 in North Augusta, South Carolina

Provider Information

NPI Number: 1912177809
Entity Type: Individual
Name: Shelly Ann Bumgarner, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 6, 2008
Last Updated: Mar 6, 2008

Practice Location

Address: 401 W MARTINTOWN RD
City: North Augusta
State: South Carolina
ZIP Code: 29841-3194
Phone: (803) 441-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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