| NPI | 1790028124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE K OGLESBY Office Manager 702-398-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2022-03-09 |