Individual
DONNA L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-6719
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-6719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4655
WI
Other
Enumeration date
12/08/2005
Last updated
04/16/2013
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