Individual
KEANNE ALYSSE PROLLAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2401 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2707
(702) 458-1300
Mailing address
11215 GAMMILA DR, LAS VEGAS, NV 89141-0435
(702) 378-6741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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