Individual
MS. KIMBERLY ANNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5800 SUN PERCH DR, NEWALLA, OK 74857-6432
(405) 659-0606
(877) 866-5803
Mailing address
5800 SUN PERCH DR, NEWALLA, OK 74857-6432
(405) 659-0606
(877) 866-5803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2080350
TX
225200000X
Physical Therapy Assistant
Primary
831
OK
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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