Most Relevant Information
Provider Data
| NPI Number: | 1003540253 |
| Provider Name: | CHRISTINE MICHELLE NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2022 |
| Last Updated: | 07/13/2022 |
Provider Practice Location
4190 CENTRAL AVE
INDIANAPOLIS
IN
462052605
Practice Location Phone/Fax
| Phone: | 3179794784 |
| Fax: |
Provider Mailing Location
4190 CENTRAL AVE
INDIANAPOLIS
IN
462052605
Provider Mailing Phone/Fax
| Phone: | 3179794784 |
| Fax: |