Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | ||
N | 225CA2400X | Assistive Technology Practitioner | ||
N | 225CA2500X | Assistive Technology Supplier | ||
N | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1972982403 |
---|---|
Provider Name | Linda Terrazas |
First Address | Las Vegas, NV 89117-5374 |
Second Address | Las Vegas, NV 89117-5374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2015 |
Last Update Date | 29/05/2015 |