Individual
CLINTON TREADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6363 S PECOS RD STE 103, LAS VEGAS, NV 89120-6291
(702) 565-5011
Mailing address
7405 BURNHAM AVE APT 2015, LAS VEGAS, NV 89123-1574
(702) 565-5011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2641
NV
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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