Individual
MRS. JILL MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
N10732 NEWTON LAKE RD, ATHELSTANE, WI 54104-9629
(715) 757-2837
Mailing address
N10732 NEWTON LAKE RD, ATHELSTANE, WI 54104-9629
(715) 757-2837
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3548-024
WI
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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