Individual
MADISON NICHOLE LARIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
535 W BUTLER RD STE A, GREENVILLE, SC 29607-4833
(864) 277-2747
Mailing address
535 W BUTLER RD STE A, GREENVILLE, SC 29607-4833
(864) 277-2747
(864) 277-7401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.9965
SC
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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