Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XF0002X | Feeding, Eating & Swallowing | 0790 | NV |
N | 225XG0600X | Occupational Therapist - Gerontology | 0790 | NV |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0790 | NV |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0790 | NV |
N | 225XP0200X | Occupational Therapist - Pediatrics | 0790 | NV |
NPI | 1487983441 |
---|---|
Provider Name | Mrs. Cynthia D Jocson |
First Address | Las Vegas, NV 89113-3082 |
Second Address | Las Vegas, NV 89113-3082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2009 |
Last Update Date | 21/12/2009 |