Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225X00000X | Occupational Therapist | 006207-1 | NY |
N | 225X00000X | Occupational Therapist | 46TR00592900 | NJ |
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1710122338 |
---|---|
Provider Name | Maria F Nieto |
First Address | Ridgefield Park, NJ 07660-1125 |
Second Address | Ridgefield Park, NJ 07660-1125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2008 |
Last Update Date | 26/02/2014 |