Individual
LESLIE DAWN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(800) 334-1919
Mailing address
601 S COO Y YAH ST, PRYOR, OK 74361-6420
(432) 254-0901
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209438
TX
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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