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Individual

DR. MARISOL MATEO BUSACAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3920 W CHARLESTON BLVD STE Y, LAS VEGAS, NV 89102-1633
(818) 894-2273
(818) 357-2505
Mailing address
6778 PAINTED MORNING AVE, LAS VEGAS, NV 89142-3602
(702) 427-4682

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-3200
NV

Other

Enumeration date
04/18/2023
Last updated
05/11/2026
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