Individual
ALLIAS JAMES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 W BASELINE RD UNIT 374, MESA, AZ 85202-5854
(425) 407-2077
Mailing address
1331 W BASELINE RD UNIT 374, MESA, AZ 85202-5854
(425) 407-2077
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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