Individual
MR. JAKE D SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
8364 MINE HILL CT, LAS VEGAS, NV 89147-6141
(970) 692-3295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2296
NV
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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