Individual
LISA NELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7726 HIGHWAY 165, COLUMBIA, LA 71418-3322
(318) 649-9826
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200378
LA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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