Individual
CAROLINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 SE 7TH AVE, CRYSTAL RIVER, FL 34429-4891
(352) 795-4114
Mailing address
1764 N CROOKED BRANCH DR, LECANTO, FL 34461-9713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10937
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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