Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | 0118 | NV |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0118 | NV |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0118 | NV |
NPI | 1437404555 |
---|---|
Provider Name | Linda L Raebel |
First Address | Las Vegas, NV 89142-0638 |
Second Address | Las Vegas, NV 89102-3838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2012 |
Last Update Date | 14/07/2012 |