| Doctor Name: | ERIC E NELSON |
| NPI Number: | 1912014143 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, OCS |
| License Number: | PT25508 |
| 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: | 08/24/2006 |
| NPI Last Update Date: | 11/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT25508 |
| 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: | |