| NPI | 1871860338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE MADISON President 702-499-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NV 10-0057) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 10-0057) |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NV 10-0057) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2014-09-18 |