Individual
LESLIE C NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PROVIDENCE TRL, MT JULIET, TN 37122-6578
(615) 553-9761
(615) 553-9762
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9666
TN
Other
Enumeration date
04/13/2015
Last updated
12/04/2020
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