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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VICKY WALESCA DE MICCO

Active Sole Proprietor

VICKY WALESCA DE MICCO is a Physical Therapy Assistant healthcare provider located in COLUMBIA, South Carolina. NPI 1316213408 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · COLUMBIA, SC

Registration Details

NPI Number
1316213408
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2012 (14.413079585065 yrs)
Last Updated
Oct 12, 2016
Licenses
40QA01343000 (NJ)
7989 (SC)
Sole Proprietor
Yes

Practice Information

Address
731 POLO RD
COLUMBIA, SC, 292234462
Browse SC providers · Browse ZIP 29223
Phone
8032385635
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in COLUMBIA, SC

Name Credential NPI
MS. ANN MERIWETHER BARTON PT 1720059777
MS. PAMELA OLENCHUK P.T. 1558339416
MS. KAREN STEELE P.T. 1891763751
MR. JOHN R. HUTT P.T. 1033187976
BRIAN R. WILEY P.T. 1497723365
JAMES R. WATTS P.T. 1356319222
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.