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Contact Information

MAKAELA NELSON
4002 EXECUTIVE PARK BLVD STE 800
SOUTHPORT, NC28461
 Phone: 910-477-6236
 Fax: 910-477-6357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MAKAELA NELSON · (Female)

NPI Number 1225695596
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2019
Last updated 06/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # P18904
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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