Individual
LUKE GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4000 S EASTERN AVE STE 150, LAS VEGAS, NV 89119-0840
(725) 726-7847
(725) 726-7876
Mailing address
10785 W TWAIN AVE STE 250, LAS VEGAS, NV 89135-3026
(725) 726-7847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0295
LICENSE #
NV
Enumeration date
08/20/2006
Last updated
01/30/2021
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