Provider Demographics
NPI:1588929798
Name:ROMANO, SHEILA DIANE (MSATC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:DIANE
Last Name:ROMANO
Suffix:
Gender:F
Credentials:MSATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CHAMBER LN
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-8942
Mailing Address - Country:US
Mailing Address - Phone:864-415-6866
Mailing Address - Fax:
Practice Address - Street 1:410 CHAMBER LN
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-8942
Practice Address - Country:US
Practice Address - Phone:864-415-6866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer