Individual
MR. ALIX EUGENE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
105 HILLSIDE AVE, ORLANDO, FL 32803-6001
(561) 908-1110
Mailing address
105 HILLSIDE AVE, ORLANDO, FL 32803-6001
(561) 908-1110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21804
FL
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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