Individual
AMBER NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
505 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 444-8466
Mailing address
505 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 444-8466
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1779
WV
Other
Enumeration date
01/03/2011
Last updated
09/03/2013
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