Jessada Kaniknunt

NPI #1174291314 in Fort Mill, South Carolina

Provider Information

NPI Number
1174291314
Entity Type
Individual
Name
Jessada Kaniknunt
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Sep 2, 2021
Last Updated
Sep 2, 2021

Practice Location

Address
3041 DREWSKY LN UNIT 101
ZIP Code
29715-0106
Phone
(803) 370-5117

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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