Individual
PATRICK REYNOLD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
45 MALLETT DR, FREEPORT, ME 04032-1312
(207) 442-0325
Mailing address
45 MALLETT DR, FREEPORT, ME 04032-1312
(207) 442-0325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2966
ME
Other
Enumeration date
03/16/2006
Last updated
08/14/2012
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