Doctor Name: | MRS. JOSEPHA ELEANOR NELSON |
NPI Number: | 1659309110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 7288 |
Business Practice Address: | 700 Twelve Oaks Center Dr Wayzata, MN - 553914401 |
Business Phone Number: | 9524760224 |
Business Fax Number: | |
Mailing Address: | 239 Peninsula Rd, MEDICINE LAKE |
State: | MN |
Postal Code: | 554414179 |
Phone Number: | 7635406884 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |