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Individual

TAYLOR J NICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2005 E GREENVILLE ST STE 119, ANDERSON, SC 29621-1575
(864) 233-5128
Mailing address
2005 E GREENVILLE ST STE 119, ANDERSON, SC 29621-1575
(864) 233-5128

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8975
SC
225100000X
Physical Therapist
PT60544884
WA

Other

Enumeration date
05/06/2015
Last updated
03/17/2018
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