| NPI | 1730041617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS NALIC PIERIDES Healthcare Provider/Manager/Member 702-816-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2025-11-28 |