Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 11-0147 | NV |
NPI | 1609269893 |
---|---|
Provider Name | Shaina E Meyer |
First Address | Las Vegas, NV 89183-4258 |
Second Address | Las Vegas, NV 89106-0100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2015 |
Last Update Date | 11/03/2015 |