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Individual

CRYSTIE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
117 13TH AVE E, ASHLAND, WI 54806-2131
(715) 292-1372
Mailing address
117 13TH AVE E, ASHLAND, WI 54806-2131
(715) 292-1372

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5760-27
WI

Other

Enumeration date
06/28/2021
Last updated
06/28/2021
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