| NPI | 1851631196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MINNICK Occupational Therapist 702-683-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NV 0324) |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2013-02-24 |