Individual
MEGAN LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
405 MONROE STREET, PELLA, IA 50219
(641) 628-6623
Mailing address
405 MONROE STREET, PELLA, IA 50219
(641) 628-6623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004404
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004404
LICENSE
IA
Enumeration date
10/19/2009
Last updated
03/17/2016
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