Individual
MRS. DONNA L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41125 N DAISY MOUNTAIN DR, ANTHEM, AZ 85086-4954
(623) 551-9706
Mailing address
41125 N DAISY MOUNTAIN DR STE 121, ANTHEM, AZ 85086-4964
(623) 551-9706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014563
AZ
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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