Organization
AKW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WIENER (OT)
(702) 469-4429
Entity
Organization
Contact information
Practice address
491 DONAVISTA CT, HENDERSON, NV 89052-2646
(702) 469-4429
Mailing address
491 DONAVISTA CT, HENDERSON, NV 89052-2646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10-0067
NV
Other
Enumeration date
10/10/2012
Last updated
10/19/2012
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