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Contact Information

PAUL NELSON, PTA/L
11 DAIRY LANE
FREDERICKSBURG, VA22554
 Phone: 860-748-2108
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for PAUL NELSON · (Male)

NPI Number 1679903157
Status Active
Credentials PTA/L
Entity Individual
Enumeration date 11/19/2013
Last updated 11/19/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000346
  • MA License # 3385
  • NH License # 0576
  • VA License # 2306603748
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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