Individual
JEREME J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
28403 N COTTONWOOD RD, CHATTAROY, WA 99003-8693
(915) 449-5362
Mailing address
28403 N COTTONWOOD RD, CHATTAROY, WA 99003-8693
(915) 449-5362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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