Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL C SHANNON, PTA
ActiveMR. SAMUEL C SHANNON, PTA is a Occupational Therapist healthcare provider located in BLYTHEWOOD, South Carolina. NPI 1871210039 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BLYTHEWOOD, SC
Registration Details
- NPI Number
- 1871210039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2022 (3.7739966666564 yrs)
- Last Updated
- Oct 27, 2022
- License
-
4846 (SC)
Practice Information
- Address
-
420B MCNULTY STBLYTHEWOOD, SC, 290168786Browse SC providers · Browse ZIP 29016
- Phone
- 8037280421
- Fax
- 8037280424
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BLYTHEWOOD, SC
| Name | Credential | NPI |
|---|---|---|
| WENDY MONROE | — | 1548686520 |
| MISS BROOKE L. GREEN | P.T.A. | 1598129512 |
| MR. ANDREW L. MOORE | P.T.A. | 1003612003 |
| MISS ELLISON SLOAN EARGLE | PTA | 1427908680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.