Individual
LUKE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
44738 MORLEY DR, CLINTON TWP, MI 48036-1357
(586) 421-4062
(586) 421-4072
Mailing address
44738 MORLEY DR, CLINTON TOWNSHIP, MI 48036-1357
(586) 421-4062
(586) 421-4072
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5202007580
MI
225X00000X
Occupational Therapist
Primary
5201009899
MI
Other
Enumeration date
08/27/2012
Last updated
07/21/2022
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