Individual
ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 ALICE DR, DEFUNIAK SPRINGS, FL 32435-2768
(850) 428-2686
Mailing address
177 ALICE DR, DEFUNIAK SPRINGS, FL 32435-2768
(850) 428-2686
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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