| NPI | 1548821671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MCINTOSH Secretary 702-781-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |