Individual
DR. NICHOLAS JAMES INOSENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
220 ROPER MOUNTAIN ROAD EXT, GREENVILLE, SC 29615-4886
(864) 242-1163
Mailing address
303 PARKINS MILL RD, GREENVILLE, SC 29607-3142
(386) 956-0369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26569
FL
225100000X
Physical Therapist
Primary
7804
SC
Other
Enumeration date
07/06/2011
Last updated
07/14/2015
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