Individual
JONATAN ANTHONIE KIKKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Mailing address
1544 MARTINGALE WAY, ROEBUCK, SC 29376-2798
(615) 540-8343
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12601
SC
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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