Individual
TANYA MARIE WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(170) 283-1667
Mailing address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(170) 283-1667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2888
NV
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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