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Individual

DAVID NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10320 W MCDOWELL RD STE N1447, AVONDALE, AZ 85392-4879
(623) 907-4400
Mailing address
4050 E COTTON CENTER BLVD STE 18, PHOENIX, AZ 85040-8862

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
30753
AZ
2251E1200X
Ergonomics Physical Therapist
30753
AZ
2251G0304X
Geriatric Physical Therapist
30753
AZ
2251S0007X
Sports Physical Therapist
30753
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
30753
AZ

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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