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Mandy Nelson, OTR/L
NPI 1811572605 · on the registry since 2021 · sole proprietor
Practice
- Address
- 917 W Canfield Ave
Coeur D Alene, ID 83815 - Phone
- (208) 762-3502
- Organisation at this address
- Periwinkle Children'S Therapy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho