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Individual
MATTHEW NIEMIERA
Active
Individual
MATTHEW NIEMIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1131407
TX
261QP2000X
Physical Therapy Clinic/Center
1131407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160835802
—
TX
01
—
8T6036
BCBS
TX
Enumeration date
06/18/2006
Last updated
08/01/2022
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