Individual
REYMUNDO MACABABBAD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
10401 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1151
(702) 360-2662
Mailing address
10401 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1151
(702) 360-2662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0825
NV
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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