Individual
NIKKI DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1799
SC
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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