Individual
GEORGE RUSTY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1361
(304) 647-1175
(304) 647-3006
Mailing address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1361
(304) 647-1175
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 002953
WV
Other
Enumeration date
09/27/2011
Last updated
10/30/2014
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