Individual
CHARLES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 CENTERVILLE RD, WILMINGTON, DE 19808-1603
(302) 633-4091
(302) 633-5680
Mailing address
8 JERSEY CT, MIDDLETOWN, DE 19709-6813
(302) 449-2085
(302) 449-2085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0000254
DE
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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