Individual
MISS ALEXA ANN ANTONOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2543 TALISKER AVE, HENDERSON, NV 89044-1715
(440) 522-7002
Mailing address
2543 TALISKER AVE, HENDERSON, NV 89044-1715
(440) 522-7002
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT-3122
NV
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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