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Individual
DR. RICHARD PAGE NIELSEN
Active
Individual
DR. RICHARD PAGE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DHSC, ECS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
75-107648-2401
UT
2251E1300X
Clinical Electrophysiology Physical Therapist
75-107648-2401
UT
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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