Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL GORDON NIELSEN, PTA
ActiveMITCHELL GORDON NIELSEN, PTA is a Occupational Therapist healthcare provider located in WOODBRIDGE, New Jersey. NPI 1265055420 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WOODBRIDGE, NJ
Registration Details
- NPI Number
- 1265055420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2020 (6.2078528800417 yrs)
- Last Updated
- May 22, 2020
- License
-
40QB00295300 (NJ)
Practice Information
- Address
-
573 AMBOY AVEWOODBRIDGE, NJ, 070953049Browse NJ providers · Browse ZIP 07095
- Phone
- 9082823737
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WOODBRIDGE, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. GLENN TWAIN MANANSALA DELROSARIO | — | 1669876793 |
| LUKE VALERIO | PTA | 1205502721 |
| MICHAEL KELLY | — | 1497576722 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.