Individual
RYAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 COUNTY ROAD F E, WHITE BEAR LAKE, MN 55110-3935
(651) 415-5500
Mailing address
2540 COUNTY ROAD F E, WHITE BEAR LAKE, MN 55110-3935
(651) 415-5500
(651) 415-5510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105858
MN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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