MITCHELL GORDON NIELSEN PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1265055420- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 573 AMBOY AVE, WOODBRIDGE, NJ, 070953049
- Phone
- (908) 282-3737
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NJ #40QB00295300