Individual
KYLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 WOODDALE DR, SUITE A, WOODBURY, MN 55125-4441
(651) 738-9888
(651) 738-9889
Mailing address
2101 WOODDALE DR, SUITE A, WOODBURY, MN 55125-4441
(651) 738-9888
(651) 738-9889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105169
MN
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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