Individual
IFEOMA ODILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6351 N FORT APACHE RD, LAS VEGAS, NV 89149-2300
(702) 515-3000
Mailing address
7640 TENDER TASSELS ST, LAS VEGAS, NV 89149-0447
(702) 487-1984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2154
NV
Other
Enumeration date
12/03/2018
Last updated
10/17/2019
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