Individual
PAUL ALAN NELSON
Active
Individual
PAUL ALAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5253
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3991
HEALTHNET
AZ
05
—
852691
—
AZ
Enumeration date
09/20/2005
Last updated
05/01/2023
Update your record
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