Individual
BETHANEY NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1208 VILLAGE CREEK LN APT 3, MT PLEASANT, SC 29464-6105
(931) 237-6560
Mailing address
1208 VILLAGE CREEK LN APT 3, MT PLEASANT, SC 29464-6105
(931) 237-6560
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7432
SC
Other
Enumeration date
08/07/2014
Last updated
07/23/2015
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