Individual
MRS. STEPHANIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2832 S MARYLAND PKWY, LAS VEGAS, NV 89109-1502
(702) 860-2604
Mailing address
2832 S MARYLAND PKWY, LAS VEGAS, NV 89109-1502
(702) 860-2604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1272
NV
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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