# TESSERA PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073371514
- **Authorized official:** NICOLE TESSIER DPT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (727) 831-1314

## Contact information

- **Practice address:** 840 MEETING ST UNIT B1, WEST COLUMBIA, SC 29169-7306
- **Practice address phone:** (803) 862-0042
- **Practice address fax:** (803) 862-0041
- **Mailing address:** 840 MEETING ST UNIT B1, WEST COLUMBIA, SC 29169-7306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 04/01/2024