Individual
CHERYL S NELSON
Active
Individual
CHERYL S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3990
HEALTHNET ID
—
05
—
637738
—
AZ
01
—
P00845668
RAILROAD MEDICARE
AZ
Enumeration date
04/13/2007
Last updated
05/31/2013
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