Individual
BRYCE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3838 12TH AVE N, FARGO, ND 58102-2931
(701) 234-4700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
392
ND
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
07/24/2014
Last updated
01/20/2025
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