Individual
NICOLE FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
491 CATTLE DRIVE CIR STE 3, MYRTLE BEACH, SC 29588-3732
(309) 360-2480
Mailing address
491 CATTLE DRIVE CIR STE 3, MYRTLE BEACH, SC 29588-3732
(309) 360-2480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11044
CT
225100000X
Physical Therapist
11957
SC
Other
Enumeration date
07/29/2016
Last updated
08/08/2023
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