Individual
EVAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6440
Mailing address
1300 UNIVERSITY AVE, MADISON, WI 53706-1510
(608) 265-4682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
03/17/2021
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