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Organization

NELSON PHYSICAL THERAPY AND REHAB, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THEODORE NELSON P.T. (PHYSICAL THERAPIST/AGENT)
(417) 844-0223
Entity
Organization

Contact information

Practice address
5764 S FARM ROAD 203, ROGERSVILLE, MO 65742-6436
(417) 844-0223
(417) 725-4290
Mailing address
5764 S FARM ROAD 203, ROGERSVILLE, MO 65742-6436
(417) 844-0223
(417) 725-4290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107405
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
485344808
MO
01
P00196731
RAILROAD MEDICARE
Enumeration date
09/03/2009
Last updated
03/04/2013
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