Individual
MRS. GLORIA M NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 MAYA DR, SEBRING, FL 33876-8044
(352) 514-7614
Mailing address
401 MAYA DR, SEBRING, FL 33876-8044
(352) 514-7614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2972
DEPARTMENT OF HEALTH
FL
Enumeration date
07/04/2010
Last updated
07/04/2010
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