Individual
JOHN NIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 DUNN RD STE 108, FLORISSANT, MO 63033-6762
(314) 972-8070
Mailing address
4252 BOTANICAL AVE FL 2, SAINT LOUIS, MO 63110-3521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020006961
MO
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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