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Individual

KATHERINE ANN BOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4980 W SAHARA AVE STE 260, LAS VEGAS, NV 89146-3435
(702) 820-5070
Mailing address
4980 W SAHARA AVE STE 260, LAS VEGAS, NV 89146-3435
(702) 820-5070

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
135672
AK
225X00000X
Occupational Therapist
Primary
OT-2316
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1685621
AK
Enumeration date
07/19/2018
Last updated
10/21/2019
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