Individual
LAURA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2366 NW LAKESIDE PL, BEND, OR 97701-3535
(541) 382-0479
(541) 389-7054
Mailing address
2366 NW LAKESIDE PL, BEND, OR 97701-3535
(541) 382-0479
(541) 389-7054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
914257
OR
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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