Individual
AMANDA RAE PERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
(702) 240-1729
Mailing address
3030 S JONES BLVD STE 105, LAS VEGAS, NV 89146-6793
(702) 360-1137
(702) 240-1729
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTR2591
AR
225XP0200X
Pediatric Occupational Therapist
Primary
14-0458
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196599721
—
AR
Enumeration date
05/07/2013
Last updated
06/21/2014
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