Individual
ELIZABETH NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 OVERLOOK RD, DAVIE, FL 33328-7144
(954) 224-2649
Mailing address
13290 SW 16TH CT, DAVIE, FL 33325-5739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22007
FL
Other
Enumeration date
11/11/2014
Last updated
10/18/2022
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