Individual
MUNTASIR CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
100 VETERANS MEMORIAL DR, BOULDER CITY, NV 89005-1926
(702) 332-6864
Mailing address
3040 TROWBRIDGE ST, HAMTRAMCK, MI 48212-3284
(313) 879-5737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201010328
MI
225X00000X
Occupational Therapist
Primary
OT-2130
NV
Other
Enumeration date
10/15/2018
Last updated
03/08/2019
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