NPI 1083945216

Shannon E Brockwell, PTA

Practitioner Physical Therapy Assistant North Augusta, SC

Practice location

Address: 401 W Martintown Rd Suite 169, North Augusta, SC 29841-3194
Phone: (803) 441-0025

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 002671 (GA)

Other Physical Therapy Assistant providers in South Carolina →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 2460 (SC)

Registry record

NPI: 1083945216
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2010
Record last updated: 19 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.