Individual
MRS. CHRISTINE MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 CENTRAL AVE, INDIANAPOLIS, IN 46205-2605
(317) 979-4784
Mailing address
4190 CENTRAL AVE, INDIANAPOLIS, IN 46205-2605
(317) 979-4784
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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