Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIESHA STEVENS, PTA
Active Sole ProprietorNIESHA STEVENS, PTA is a Occupational Therapist healthcare provider located in MACCLENNY, Florida. NPI 1710435706 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MACCLENNY, FL
Registration Details
- NPI Number
- 1710435706
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2016 (9.9418548253126 yrs)
- Last Updated
- Mar 11, 2023
- Licenses
-
PTA1970 (FL)PTA19730 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3599 N CANAL RDMACCLENNY, FL, 320634830Browse FL providers · Browse ZIP 32063
- Phone
- 9044449622
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- 2251E1200X
- Additional Specialty
- Occupational Therapist
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.