Individual
JACQUELYN MOTA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 W CHEYENNE AVE STE 210, LAS VEGAS, NV 89129-8932
(702) 209-0069
(702) 564-4838
Mailing address
1333 N BUFFALO DR UNIT 170, LAS VEGAS, NV 89128-3637
(702) 660-2694
(702) 750-1372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3181
NV
225X00000X
Occupational Therapist
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—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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