| Organization Name: | AMELIA NELSON BS PT LLC |
| NPI Number: | 1003118886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMELIA NELSON (PHYSICAL THERAPIST/OWNER) |
| Mailing Address: | 1869 Greentree Rd Cherry Hill |
| State: | NJ US |
| Postal Code: | 080032009 |
| Phone Number: | 8564242444 |
| Fax Number: | 8564248632 |
| NPI Enumeration Date: | 11/29/2010 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 40QA00242000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |