Individual
MR. WILLIAM THOMAS CHIRICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6237 CAROLINA COMMONS DR STE 110, INDIAN LAND, SC 29707-6014
(803) 306-8861
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10676
NC
225100000X
Physical Therapist
Primary
5656
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417132507
—
NC
05
—
TH4853
—
SC
Enumeration date
01/08/2008
Last updated
03/17/2022
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