# LEE ANN NELSON PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEE ANN NELSON PHYSICAL THERAPY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396989927
- **Legal business name:** LEE ANN NELSON PHYSICAL THERAPY LLC
- **Authorized official:** LEE ANN NELSON PT (MANAGING MEMBER)
- **Authorized official phone:** (410) 392-9400

## Contact information

- **Practice address:** 4899 PULASKI HIGHWAY, SUITE A, PERRYVILLE, MD 21903
- **Practice address phone:** (410) 392-9400
- **Practice address fax:** (410) 392-0577
- **Mailing address:** 4899 PULASKI HIGHWAY, SUITE A, PERRYVILLE, MD 21903
- **Mailing address phone:** (410) 392-9400
- **Mailing address fax:** (410) 392-0577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 17180 | MD | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 04/27/2009
