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Individual

NICHOLE MARIE TENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSR OTR/L

Contact information

Practice address
28 JIMMY DOOLITTLE DR, GREENVILLE, SC 29607-2622
(864) 679-8606
(864) 679-8608
Mailing address
8811 WARREN H. ABERNATHY HWY., SPARTANBURG, SC 29301-1228
(864) 574-7282
(864) 574-7664

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2438
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH1470
SC
Enumeration date
10/17/2006
Last updated
07/21/2022
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