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Ms. Shannon E Glasow
Prosthetic/Orthotic Supplier in Simpsonville, South Carolina
NPI 1154868941

Shannon E Glasow is a Prosthetic/Orthotic Supplier based in Simpsonville, SC. Shannon E Glasow practices in Simpsonville, SC. The NPI Number for Shannon E Glasow is 1154868941 and holds a License No. (South Carolina).

The current practice location address for Shannon E Glasow is 210 Ne Main St, Simpsonville, SC and can be reached out via phone at 086-477-0363.

Location: 210 Ne Main St, Simpsonville, SC, 29680-6706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154868941
Provider Name
Shannon E Glasow
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 Ne Main St, Simpsonville, SC, 29680-6706
Phone Number
086-477-0363
Fax Number
Provider Enumeration Date
01/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 Ne Main St
City
Simpsonville
State
South Carolina
Zip
29681-2318
Phone Number
086-477-0363
Fax Number
person
Provider Business Mailing Address Details
Address
210 Ne Main St
City
Simpsonville
State
South Carolina
Zip
29681-2318
Phone Number
086-477-0363
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(South Carolina)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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