Individual
ANSELITO PUNLA LACAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1395 RAIDERS WAY STE 140, HENDERSON, NV 89052-4615
(725) 241-6800
Mailing address
1395 RAIDERS WAY STE 140, HENDERSON, NV 89052-4615
(725) 241-6800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13-0322
NV
225X00000X
Occupational Therapist
3257
CA
Other
Enumeration date
03/06/2008
Last updated
11/11/2022
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