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Individual

ANDREW NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302
(732) 320-1613
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
050200
AZ

Other

Enumeration date
11/10/2025
Last updated
11/10/2025
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