Individual
KANADA NICOLE CHERI WEIGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
385 SPEARS CREEK CHURCH RD STE B, ELGIN, SC 29045-8446
(803) 929-4708
Mailing address
PO BOX 168, CRYSTAL SPRINGS, MS 39059-0168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11543
SC
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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