Individual
MRS. DORIS C. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T. , M.A.
Contact information
Practice address
719 SE MAIN ST, SSI PHYSICAL THERAPY, SIMPSONVILLE, SC 29681-3237
(864) 963-9229
Mailing address
696 STODDARD MILL RD, GRAY COURT, SC 29645-3832
(864) 862-3700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117
SC
Other
Enumeration date
09/20/2006
Last updated
08/10/2011
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