Individual
MR. DALE S NELSON
Active
Individual
MR. DALE S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025208 PT00002721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603272500
FED WORKERS
WA
05
—
7105174
—
WA
01
—
92453
L & I
WA
Enumeration date
10/10/2006
Last updated
06/24/2014
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