Organization
NELSON PEDIATRIC THERAPY
Active
Organization
NELSON PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAUNA J NELSON MS, OTR/L (OCCUPATIONAL THERAPIST)
(303) 918-1156
Entity
Organization
Contact information
Practice address
6790 N WATERWAY DR, MIAMI, FL 33155-3855
(303) 918-1156
(305) 602-5916
Mailing address
6790 N WATERWAY DR, MIAMI, FL 33155-3855
(303) 918-1156
(305) 602-5916
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT16533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012990300
—
FL
Enumeration date
11/16/2014
Last updated
11/16/2014
Update your record
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