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Individual
MR. THOMAS P NELSON
Active
Individual
MR. THOMAS P NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3871-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3871-024
LICENSE
WI
05
—
40376600
—
WI
Enumeration date
07/26/2006
Last updated
06/29/2022
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