Individual
MR. JAMES A NIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
110 RUTHLYNN DR, LONGVIEW, TX 75605-5634
(903) 757-3722
Mailing address
81 COUNTRY LN, SHELBYVILLE, KY 40065-8928
(502) 693-8922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213441
TX
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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