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: |