Individual
MICHAEL NELSON
Active
Individual
MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
61681
OR
2251N0400X
Neurology Physical Therapist
Primary
61681
OR
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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