MR. Shannon Carl Nelson, OTR

NPI #1104029388 in Red Lake, Minnesota

Provider Information

NPI Number
1104029388
Entity Type
Individual
Name
MR. Shannon Carl Nelson, OTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
General Acute Care Hospital
Credential
OTR
Enumeration Date
Jun 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
HIGHWAY 1 BOX 497
ZIP Code
56671
Phone
(218) 679-3316

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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