Individual
MR. CRAIG EDWARD NELSON
Active
Individual
MR. CRAIG EDWARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119000190
LICENSE
VA
Enumeration date
03/02/2007
Last updated
06/22/2010
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