Individual
DR. ASHLEY NICHOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
571 STANISLAUS AVE, SUITE F, ANGELS CAMP, CA 95222-9354
(209) 736-9056
(209) 736-9058
Mailing address
PO BOX 637, ANGELS CAMP, CA 95221-0637
(209) 736-9056
(209) 736-9058
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38746
CA
Other
Enumeration date
02/21/2012
Last updated
03/19/2012
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