Individual
DR. MELISSA BRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4 OKATIE CENTER BLVD S STE 101, OKATIE, SC 29909-7530
(843) 705-9480
(843) 705-9481
Mailing address
4 OKATIE CENTER BLVD S, OKATIE, SC 29909-7529
(843) 705-9480
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6234
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2838
—
SC
Enumeration date
07/16/2010
Last updated
04/23/2021
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