Individual
MICHELLE LEA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2018
SD
225100000X
Physical Therapist
Primary
03268
IA
Other
Enumeration date
03/17/2008
Last updated
07/09/2019
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