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Individual

DR. RICHARD PAGE NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DHSC, ECS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
75-107648-2401
UT
2251E1300X
Clinical Electrophysiology Physical Therapist
75-107648-2401
UT

Other

Enumeration date
04/07/2008
Last updated
04/07/2008
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