NPI 1164887659

Ken Nelson

Practitioner Recreation Therapist Brentwood, NY

Practice location

Address: 998 Crooked Hill Rd, Brentwood, NY 11717-1019
Phone: (631) 761-2864

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 1578627785 (NY)

Other Recreation Therapist providers in New York →

Registry record

NPI: 1164887659
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.