Donald William Nelson, OTR/L

Individual provider Active NPI Occupational Therapist · Bloomfield, IN

NPI 1881925881 · NPPES record last updated Jan 15, 2010

Key facts

NPI
1881925881
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
31001179A (IN)
Practice address
278 W Davis St
Bloomfield, IN 47424-1505
Phone
(812) 384-3916
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
31001179AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31001179A IN Yes

Addresses

Primary practice location

278 W Davis St
Bloomfield, IN 47424-1505

Mailing address

278 W Davis St
Bloomfield, IN 47424-1505
Phone (812) 384-3916

Other providers in Bloomfield, IN

All providers in Bloomfield, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.