Individual
MS. ANNA NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011983A
IN
225100000X
Physical Therapist
070027601
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05011983A
LICENSE
IN
Enumeration date
08/09/2006
Last updated
09/11/2023
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