JESSICA ALEXIS KOLLER

COLUMBIA, SC
NPI1992042360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: SC  1339)
Enumeration Date2013-01-05
Last Update Date2013-01-05
Business Address
Miss JESSICA ALEXIS KOLLER ATC
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 203-470-1558
Mailing Address
Miss JESSICA ALEXIS KOLLER ATC
215 SPENCER PL APT 913
CAYCE, SC 29033-3980
Phone number: 203-470-1558
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