Individual
MR. STEVEN EDWARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
12023 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
(562) 869-0978
Mailing address
11801 FLAMINGO DR, GARDEN GROVE, CA 92841-2657
(714) 334-9049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4381
CA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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