Individual
JOAN MILDRED WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5715 W ALEXANDER RD STE 155, LAS VEGAS, NV 89130-2807
(702) 701-0057
(702) 701-0075
Mailing address
5715 W ALEXANDER RD STE 155, LAS VEGAS, NV 89130-2807
(702) 701-0057
(702) 701-0075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2840
MA
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3693
NV
Other
Enumeration date
07/20/2009
Last updated
04/15/2026
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