Individual
QUIANNA WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7365 PRAIRIE FALCON RD STE 110, LAS VEGAS, NV 89128-0808
(702) 462-5252
Mailing address
2020 DIAMOND BROOK CT, LAS VEGAS, NV 89117-1865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3545
NV
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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