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Individual

AMY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
521 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-1523
Mailing address
807 PARHAM LN, GREENVILLE, KY 42345-3279

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
R3852
KY

Other

Enumeration date
01/20/2016
Last updated
01/20/2016
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