Individual
STACEA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 13TH AVE N, CLINTON, IA 52732-5168
(563) 242-1521
Mailing address
1221 4TH ST, CAMANCHE, IA 52730-2119
(563) 249-3217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106352
IA
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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