Individual
MRS. HATTIE WALKER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 291-6722
Mailing address
2270 CANADAIANGEESE DR, SUMTER, SC 29153-8409
(574) 339-5570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31003679A
IN
225X00000X
Occupational Therapist
Primary
4693
SC
Other
Enumeration date
06/29/2007
Last updated
11/03/2017
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