Individual
JENNA LEE HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
366 E MESA VERDE LN, LAS VEGAS, NV 89123-1812
(702) 227-4477
Mailing address
366 E MESA VERDE LN, LAS VEGAS, NV 89123-1812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-0889
NV
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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