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NPI Code Detail

MEDICARE: MS. NANCY LANDERS NELSON PT

MEDICARE:  MS. NANCY LANDERS NELSON  PT
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 Therapist14710CA

General Provider Information

NPI Number : 1811186257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY LANDERS NELSON PT
Provider Business Mailing Address
First Line : 236 W PORTAL AVE
Second Line : #389
City : SAN FRANCISCO
State : CA
Zip : 94127-1423
Country : US
Telephone Number : 415-564-3604
Fax Number : 415-564-1853
Provider Business Practice Location Address
First Line : 236 W PORTAL AVE
Second Line : #389
City : SAN FRANCISCO
State : CA
Zip : 94127-1423
Country : US
Telephone Number : 415-564-3604
Fax Number : 415-564-1853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 11/25/2007

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Directions to “ MS. NANCY LANDERS NELSON PT” Practice Location

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