Individual
MR. DONALD WILLIAM NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
278 W DAVIS ST, BLOOMFIELD, IN 47424-1505
(812) 384-3916
Mailing address
278 W DAVIS ST, BLOOMFIELD, IN 47424-1505
(812) 384-3916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001179A
IN
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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