Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 16-0789 | NV |
NPI | 1952938581 |
---|---|
Provider Name | Haley Ott |
First Address | Las Vegas, NV 89146-1139 |
Second Address | Las Vegas, NV 89146-1139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2020 |
Last Update Date | 24/03/2020 |