Individual
KASSIDI HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2965 WIGWAM PKWY, HENDERSON, NV 89074-2870
(702) 470-2020
Mailing address
431 SELLERS PL, HENDERSON, NV 89011-5311
(208) 851-2663
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2947
NV
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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