Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2202 | NV |
NPI | 1174088314 |
---|---|
Provider Name | Peter Chow |
First Address | Henderson, NV 89052-5016 |
Second Address | Henderson, NV 89052-5016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2019 |
Last Update Date | 01/02/2019 |