Individual
HOLLY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4910 FORGE HAVEN DR, PERRY HALL, MD 21128-9759
(410) 882-1345
(410) 882-1345
Mailing address
4910 FORGE HAVEN DR, PERRY HALL, MD 21128-9759
(410) 967-9893
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03646
MD
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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