Individual
MRS. MONIQUE PORTANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8609 ALFANO CT, LAS VEGAS, NV 89117-5402
(702) 220-9390
Mailing address
8609 ALFANO CT, LAS VEGAS, NV 89117-5402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0447
NV
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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