Individual
DOUGLAS JAMES DEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
106 SAFFORD ST, MADISON, OH 44057-3247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-0897
NV
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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