Individual
AMELIA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1869 GREENTREE RD, CHERRY HILL, NJ 08003-2009
(856) 424-2444
(856) 424-8632
Mailing address
23 HAWK LN, MARLTON, NJ 08053-2070
(856) 596-1761
(856) 424-8632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00242000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900053517
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
10/31/2006
Last updated
07/08/2007
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