Individual
KYLE J NELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
900 ROUTE 168, TURNERSVILLE, NJ 08012-3233
(856) 227-1440
Mailing address
1743 BLACK OAK RD, WILLIAMSTOWN, NJ 08094-2004
(856) 325-0334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00377500
NJ
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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