Individual
JUANITA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 N RILEY HWY, SHELBYVILLE, IN 46176-9311
(317) 398-1335
Mailing address
951 SAINT CHARLES PL, GREENWOOD, IN 46143-8462
(317) 397-8671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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