NICHOLAS BLACKBURN

WEST COLUMBIA, SC
NPI1366861239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1955)
Enumeration Date2014-04-08
Last Update Date2014-04-08
Business Address
-- NICHOLAS BLACKBURN PTA
1 STILL HOPES DR
WEST COLUMBIA, SC 29169-7164
Phone number: 803-233-7130
Mailing Address
-- NICHOLAS BLACKBURN PTA
1 STILL HOPES DR
WEST COLUMBIA, SC 29169-7164
Phone number:
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