Individual
CHRIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
012961
NY
225200000X
Physical Therapy Assistant
Primary
2306606527
VA
Other
Enumeration date
01/03/2022
Last updated
09/04/2024
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