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Individual
PATRICIA NELSON
Active
Individual
PATRICIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60045924
WA
2251X0800X
Orthopedic Physical Therapist
4147
MN
Other
Enumeration date
12/27/2006
Last updated
04/21/2014
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