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Individual
LEEANN NELSON
Active
Individual
LEEANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17180
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010677886TA
PERFERRED HEALTH NETWORK
MD
01
—
2888094
AETNA HMO
MD
01
—
4586282
AETNA PPO
MD
01
—
54544506
CAREFIRST BCBS
MD
01
—
611528200
US DEPT OF LABOR
MD
01
—
650026081
RAILROAD MEDICARE
MD
01
—
H523410
UNITED HEALTH CARE
MD
01
—
S435001
CAREFIRST BLUE CHOICE
MD
Enumeration date
01/31/2007
Last updated
06/20/2019
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