Individual
ASTRID NICOLE CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1824 GHOST TRACE AVE, LAS VEGAS, NV 89183-6845
(702) 722-4476
Mailing address
1824 GHOST TRACE AVE, LAS VEGAS, NV 89183-6845
(702) 722-4476
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
09-0087
NV
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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