Individual
MISS KELLY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2832 E FLAMINGO RD, LAS VEGAS, NV 89121-5205
(525) 799-5252
Mailing address
1383 RUBY SKY CT, HENDERSON, NV 89052-3137
(702) 417-7913
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2069
NV
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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