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Individual

THERESA SUE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-6425
Mailing address
11779 N LOFQUIST RD, HAYWARD, WI 54843-6434
(715) 699-9837

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1733-019
WI

Other

Enumeration date
08/15/2011
Last updated
08/15/2011
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