Individual
NICOLE GULUTZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1181 S BUFFALO DR, LAS VEGAS, NV 89117-8311
(702) 360-1137
Mailing address
8116 WINSLOW AVE, LAS VEGAS, NV 89129-7348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0875
NV
225XP0200X
Pediatric Occupational Therapist
0875
NV
Other
Enumeration date
03/29/2007
Last updated
09/22/2007
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