Individual
MRS. BRANDI NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 MEDINA DR, KELLER, TX 76248-7331
(817) 991-0489
Mailing address
611 MEDINA DR, KELLER, TX 76248-7331
(817) 991-0489
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
110267
TX
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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