Individual
PORTIA LYNN MARAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Mailing address
95 WATSON WAY, POWELL, OH 43065-7581
(614) 634-8663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2582
NV
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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