Individual
LORI JEAN NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
810 BANK ST, WEBSTER CITY, IA 50595-2106
(515) 576-4811
Mailing address
439 N 19TH ST, FORT DODGE, IA 50501-3507
(515) 576-4811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00544
IA
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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