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Individual

JODY E WAIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9321 W SUNSET RD, LAS VEGAS, NV 89148
(702) 645-7800
(702) 216-9303
Mailing address
9321 W SUNSET RD, LAS VEGAS, NV 89148-4845
(702) 645-7800
(702) 216-9304

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
998298
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
998298
CHT
CO
Enumeration date
08/14/2006
Last updated
08/20/2018
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