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MS. LORI CARROLL NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
158 ASHLEY AVENUE, SUITE C102, CHARLESTON, SC 29425
(843) 792-6366
(843) 792-8665
Mailing address
158 ASHLEY AVENUE, SUITE C102, PO BOX 250977, CHARLESTON, SC 29425
(843) 792-6366
(843) 792-8665

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1751
SC

Other

Enumeration date
10/15/2007
Last updated
10/15/2007
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