Individual
NICHOLAS MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223
(803) 419-0431
Mailing address
731 POLO RD, COLUMBIA, SC 29223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3419
SC
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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