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NPI Code Detail

MEDICARE: ANA-MARIE JOY NELSON

MEDICARE: ANA-MARIE JOY NELSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist23939MA
2225100000XPhysical Therapist2305212285VA
3225100000XPhysical TherapistPTL.0015821CO

General Provider Information

NPI Number : 1053892364
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA-MARIE JOY NELSON
Provider Business Mailing Address
First Line : 2233 ACADEMY PL STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1666
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17230 JACKSON CREEK PKWY STE 220
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7304
Country : US
Telephone Number : 719-488-3348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2018
Last Update Date : 02/21/2024

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Directions to “ ANA-MARIE JOY NELSON ” Practice Location

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