Individual
MELISSA ELLEN RICKENBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2550
SC
Other
Enumeration date
11/18/2009
Last updated
12/27/2023
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