| NPI | 1114315801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY R CARTER Owner 702-964-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NV NV20141234749) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NV NV20141234749) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: NV NV20141234749) | |
| 225X00000X Occupational Therapist (Licence: NV NV20141234749) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: NV NV20141234749) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-08-19 |