Individual
AMANDA TEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4285 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3456
(702) 685-3459
Mailing address
4285 N RANCHO DR STE. 160, LAS VEGAS, NV 89130
(702) 685-3459
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
02/10/2014
Last updated
12/16/2014
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