JESSADA KANIKNUNT

FORT MILL, SC
NPI1174291314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  2712)
Enumeration Date2021-09-02
Last Update Date2021-09-02
Business Address
JESSADA KANIKNUNT
3041 DREWSKY LN UNIT 101
FORT MILL, SC 29715-0106
Phone number: 803-370-5117
Mailing Address
JESSADA KANIKNUNT
3041 DREWSKY LN UNIT 101
FORT MILL, SC 29715-0106
Phone number: 803-370-5117