Individual
MR. MATTHEW PAUL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1111 E STANLEY BLVD, LIVERMORE, CA 94550-4115
(925) 243-1385
(925) 243-0127
Mailing address
3472 SMOKETREE COMMONS, PLEASANTON, CA 94566-7964
(510) 299-1234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6010
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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