Individual
REBECCA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4601 SE BROOKSIDE DR APT 29, MILWAUKIE, OR 97222-4158
(503) 260-2230
Mailing address
4601 SE BROOKSIDE DR APT 29, MILWAUKIE, OR 97222-4158
(503) 260-2230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
259153
OR
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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