Doctor Name: | KRISTEN NELSON |
NPI Number: | 1053539114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT25399 |
Business Practice Address: | 92 Main St Tiburon, CA - 949202508 |
Business Phone Number: | 4154357488 |
Business Fax Number: | |
Mailing Address: | 92 Main St, TIBURON |
State: | CA |
Postal Code: | 949202508 |
Phone Number: | 4154357488 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT25399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |