Individual
MS. TERRI L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
123 16TH AVE S, ONALASKA, WI 54650-3109
(608) 775-7987
(608) 775-7911
Mailing address
1900 SOUTH AVE, MAILSTOP H04-004, LA CROSSE, WI 54601-5467
(608) 782-7300
(608) 775-4732
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
203-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41057400
—
WI
Enumeration date
10/30/2008
Last updated
10/30/2008
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