Individual
MRS. THERESA M NIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 SW BUTLER AVE, PORT ST LUCIE, FL 34983-8738
(848) 224-9181
Mailing address
535 SW BUTLER AVE, PORT ST LUCIE, FL 34983-8738
(848) 224-9181
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
05/15/2024
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