IndividualActive
Mary Nelson
NPI 1558845586 · Occupational Therapy Assistant · Willow Park, TX
Provider details
- NPI number
- 1558845586
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 213508 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 Crown Pointe Blvd
Willow Park, TX 76087-1160
Phone: (817) 757-1200
Approximate (ZIP-level) locationGet directions
Mailing address
300 Crown Pointe Blvd
Willow Park, TX 76087-1160
Registry dates
- Enumerated
- 2018-09-15
- Last updated
- 2018-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.