Individual
TERESA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 354-0767
Mailing address
807 MAIN ST, OSAGE CITY, KS 66523-1241
(785) 249-5654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00234
KS
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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