Individual
JOLENE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
21615 HAWTHORNE BLVD, 200, TORRANCE, CA 90503-6668
(310) 371-8555
Mailing address
1423 EUCLID ST, APT. 2, SANTA MONICA, CA 90404-2742
(415) 548-0703
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
39067
CA
Other
Enumeration date
09/26/2011
Last updated
04/14/2015
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