Individual
HEATHER R OMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
508 FORK MESA CT, HENDERSON, NV 89015-5701
(702) 420-4264
Mailing address
508 FORK MESA CT, HENDERSON, NV 89015-5701
(702) 420-4264
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2178
NV
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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