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Individual

DAVID BENJAMIN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
23811 CHAGRIN BLVD, BEACHWOOD, OH 44122-5525
(216) 682-0413
Mailing address
12930 WOODIN RD, CHARDON, OH 44024-9135

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT017191
OH

Other

Enumeration date
09/08/2017
Last updated
09/08/2017
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