Organization
AMELIA NELSON BS PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA NELSON BS, PT, CCTT (PHYSICAL THERAPIST/OWNER)
(856) 424-2444
Entity
Organization
Contact information
Practice address
1869 GREENTREE RD, CHERRY HILL, NJ 08003-2009
(856) 424-2444
(856) 424-8632
Mailing address
1869 GREENTREE RD, CHERRY HILL, NJ 08003-2009
(856) 424-2444
(856) 424-8632
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00242000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417033309
INDIVIDUAL NPI
NJ
01
—
545105
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
11/29/2010
Last updated
11/29/2010
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