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Michael Nielsen

Recreational Therapist Assistant in Cleveland, OH. Individual provider (NPI-1).

NPI number1013517366
StatusActive
Last updated in NPPESOct 27, 2020

Details

NPI
1013517366
Entity type
Individual (NPI-1)
Name
Michael Nielsen
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2020
Certification date
Oct 27, 2020
Last updated
Oct 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226000000X Recreational Therapist Assistant––Yes

Practice location

10701 East Blvd
Cleveland, OH 44106-1702

Phone 216-791-3800

Mailing address

10701 East Blvd
Cleveland, OH 44106-1702

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