NPI 1063886125

James a Nieman, COTAL

Practitioner Occupational Therapy Assistant Longview, TX

Practice location

Address: 110 Ruthlynn Dr, Longview, TX 75605-5634
Phone: (903) 757-3722
Mailing address: 81 Country Ln, Shelbyville, KY 40065-8928

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 213441 (TX)

Other Occupational Therapy Assistant providers in Texas →

Registry record

NPI: 1063886125
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Nov 2015
Record last updated: 30 Nov 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.