Individual
GABRIELLE NICOLE AXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2387 LANTERN ST, CHARLESTON, SC 29414-4850
(317) 750-9879
(843) 620-0722
Mailing address
2387 LANTERN ST, CHARLESTON, SC 29414-4850
(317) 750-9879
(843) 620-0722
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
SC
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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