Mitchell Gordon Nielsen, PTA

NPI #1265055420 in Woodbridge, New Jersey

Provider Information

NPI Number
1265055420
Entity Type
Individual
Name
Mitchell Gordon Nielsen, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 22, 2020
Last Updated
May 22, 2020

Practice Location

Address
573 AMBOY AVE
ZIP Code
07095-3049
Phone
(908) 282-3737

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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