Individual
MISS SHANNON L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1226
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3051
NM
Other
Enumeration date
05/05/2008
Last updated
07/27/2012
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