Individual
CHAD HATHEWAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 KENDALL ST, SPRINGFIELD, MA 01104-2532
(413) 737-4756
Mailing address
69 BURNHAM RD, GREENFIELD, MA 01301-1113
(413) 772-9297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25073
MA
Other
Enumeration date
04/30/2020
Last updated
08/10/2020
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