Individual
MR. JAIME LUIS NIEVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
32 LAUREL AVE, KEANSBURG, NJ 07734-1125
(732) 787-8100
Mailing address
1123B HOLLYWOOD RD, LINDEN, NJ 07036-5629
(908) 531-9224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40 QB00191000
NJ
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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