Individual
BRENDA JUNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 LYNN ST, FLUSHING, MI 48433-2643
(888) 779-1337
Mailing address
12755 READ RD, FENTON, MI 48430-4606
(810) 265-6627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000538
MI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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