Individual
AMANDA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6011 UNIVERSITY BLVD STE 120, ELLICOTT CITY, MD 21043-6104
(410) 203-0391
Mailing address
8133 ASPENWOOD WAY, JESSUP, MD 20794-8911
(443) 204-1276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5587
MD
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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