| Vicky Walesca De Micco, | |
|
731 Polo Rd, Columbia, SC 29223-4462 | |
| (803) 238-5635 | |
| Not Available |
| Full Name | Vicky Walesca De Micco |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 731 Polo Rd, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316213408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01343000 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 7989 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky Walesca De Micco, 731 Polo Rd, Columbia, SC 29223-4462 Ph: (803) 238-5635 | Vicky Walesca De Micco, 731 Polo Rd, Columbia, SC 29223-4462 Ph: (803) 238-5635 |
David Thompson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3250 Harden Street Ext Ste 100, Columbia, SC 29203 Phone: 803-509-6389 | |
Mr. Harvey Wells Mathews, PT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Pt Clinic, Department Of Exercise Science, University Of South Carolina, Columbia, SC 29208 Phone: 803-777-0478 | |
Michael A Imperial, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1924 Main St, Columbia, SC 29201 Phone: 803-434-2300 Fax: 803-434-8600 | |
University Of South Carolina Physical Therapy Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Blatt Physical Education Ctr, 1300 Wheat Street Room 104, Columbia, SC 29208 Phone: 803-777-0486 Fax: 803-777-8422 | |
Mr. Matthew William Perkins, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 Stuart St, Moncrief Army Community Hospital / Credentials, Columbia, SC 29207 Phone: 803-751-2618 Fax: 803-751-2689 | |
Mrs. Carrie B. Latham, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 144 Leisure Ln Ste 100, Columbia, SC 29210 Phone: 803-708-2950 | |
Gregory Dotson Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Forum Dr Ste 13, Columbia, SC 29229 Phone: 803-509-6880 Fax: 803-760-7483 |