Individual
CARLA GRAVE DE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3965 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-8904
(702) 515-4009
Mailing address
203 TURKEY CREEK WAY, HENDERSON, NV 89074-1617
(702) 738-5298
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2994
NV
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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