Individual
NEVIN JOHN ANDREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0564
SD
225X00000X
Occupational Therapist
106299
MN
225X00000X
Occupational Therapist
Primary
1178
SD
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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