Individual
DR. JAPHETH MAICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR-L
Contact information
Practice address
6623 TOPLEY PIKE AVE, LAS VEGAS, NV 89139-5391
(626) 818-6947
Mailing address
6623 TOPLEY PIKE AVE, LAS VEGAS, NV 89139-5391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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