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Individual

CARLY JORDAN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT

Contact information

Practice address
108 KNOTBREAK RD, SALEM, VA 24153-5414
(540) 685-0168
(540) 685-0169
Mailing address
2200 S MAIN ST STE B, BLACKSBURG, VA 24060-6620
(540) 685-0168
(540) 685-0169

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217135
VA

Other

Enumeration date
03/22/2025
Last updated
07/09/2025
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