Individual
KIMBERLY RUTH NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 BRIGADOONE LANE, FLORENCE, SC 29505
(843) 662-9235
Mailing address
1916 BRIGADOONE LN, FLORENCE, SC 29505-3250
(843) 662-9235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1298
SC
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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