Individual
BO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
8020 W SAHARA AVE STE 160, LAS VEGAS, NV 89117-7917
(702) 595-5437
(702) 425-2787
Mailing address
9550 W SAHARA AVE APT 2053, LAS VEGAS, NV 89117-5385
(213) 422-1955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3580
NV
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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