Individual
CHAMBRIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 BERRY ST, GRENADA, MS 38901-4228
(662) 207-4196
Mailing address
1081 BERRY ST, GRENADA, MS 38901-4228
(662) 207-4196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6111
MS
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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