Individual
ALYZA GRACE MIJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Mailing address
7812 PAPER FLOWER CT, LAS VEGAS, NV 89128-7328
(702) 321-1973
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2477
NV
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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