JEREMY LOUIS NELSON

GREEN BAY, WI
NPI1598932675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  594-019)
Enumeration Date2008-05-08
Last Update Date2008-05-08
Business Address
Mr. JEREMY LOUIS NELSON PTA
715 SOUTH WEBSTER AVE
GREEN BAY, WI 54301
Phone number: 920-431-5588
Mailing Address
Mr. JEREMY LOUIS NELSON PTA
744 SOUTH WEBSTER AVE PO BOX 23400
GREEN BAY, WI 54305-3400
Phone number: 920-431-5588
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