Individual
DEBORA CAIRES NELSON
Active
Individual
DEBORA CAIRES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1343
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138360
BLUE SHIELD
ID
01
—
0161551
LABOR AND INDUSTRY
WA
05
—
806161000
—
ID
01
—
T5410
BLUE CROSS
ID
Enumeration date
06/26/2006
Last updated
10/21/2013
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