Individual
SELEKA ROSE GOROSPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9121 W RUSSELL RD STE 115, LAS VEGAS, NV 89148-1238
(725) 400-1831
Mailing address
4680 POLARIS AVE STE 200, LAS VEGAS, NV 89103-5600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3278
NV
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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