Individual
ALEXANDRA E CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6375 W CHARLESTON BLVD # L200, LAS VEGAS, NV 89146-1139
(702) 259-1903
Mailing address
10572 CLOUD WHISPER DR, LAS VEGAS, NV 89135-1291
(775) 910-1511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2143
NV
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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