Individual
JENNIFER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W 12TH ST, IMPERIAL, NE 69033-3130
(308) 882-7111
Mailing address
533 S 9TH ST, BERTHOUD, CO 80513-1400
(970) 412-8037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1293
NE
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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