MISS Jessica Alexis Koller, ATC
NPI #1992042360 in Columbia, South Carolina
Provider Information
- NPI Number
- 1992042360
- Entity Type
- Individual
- Name
- MISS Jessica Alexis Koller, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Credential
- ATC
- Enumeration Date
- Jan 5, 2013
- Last Updated
- Jan 5, 2013
Practice Location
- Address
- 2 MEDICAL PARK RD
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203-6808
- Phone
- (203) 470-1558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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