Individual
LUIS MIGUEL TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L OTD
Contact information
Practice address
3965 W CHEYENNE AVE STE 101, NORTH LAS VEGAS, NV 89032-8905
(702) 515-4009
Mailing address
9225 W CHARLESTON BLVD APT 1057, LAS VEGAS, NV 89117-7051
(956) 509-9494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0007111
CO
225X00000X
Occupational Therapist
2931
NV
225XP0200X
Pediatric Occupational Therapist
Primary
122134
TX
Other
Enumeration date
06/01/2022
Last updated
08/09/2024
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