Individual
NICOLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
60 N MAIN ST UNIT G, HILTON HEAD ISLAND, SC 29926-6603
(843) 715-4146
(843) 715-4673
Mailing address
60 TIMBERCREST CIR, HILTON HEAD ISLAND, SC 29926-2058
(845) 464-2087
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4938
SC
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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