Individual
TAD NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(763) 760-2489
Mailing address
3209 GARFIELD AVE, MINNEAPOLIS, MN 55408-3631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105195
MN
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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