Individual
NICOLE L O'DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
137 PROFESSIONAL LN, PAWLEYS ISLAND, SC 29585-8631
(843) 585-3303
Mailing address
355 SHORE RUSH DR, PAWLEYS ISLAND, SC 29585-6481
(843) 585-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048521
NY
225100000X
Physical Therapist
Primary
11237
SC
Other
Enumeration date
03/02/2022
Last updated
07/22/2026
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