Individual
NICOLE R TESSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
130 FORUM DR STE 113, COLUMBIA, SC 29229-7943
(803) 509-6880
(803) 509-6881
Mailing address
470 HULON LANE, TTN: VP REVENUE CYCLE, WEST COLUMBIA, SC 29169
(803) 791-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9474
SC
225200000X
Physical Therapy Assistant
24243
FL
Other
Enumeration date
05/03/2014
Last updated
10/02/2020
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