Individual
RAYMOND POLYDOOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2560 MONTESSOURI ST, LAS VEGAS, NV 89117-3061
(702) 686-3008
Mailing address
2463 TRIBECA ST, LAS VEGAS, NV 89135-1143
(702) 265-7531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3115
NV
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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