Individual
STEVE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7444
(262) 243-7486
Mailing address
125 S ORCHARD ST, THIENSVILLE, WI 53092-1872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
698-019
WI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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