Individual
AMANDA LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6600 W CHARLESTON BLVD, LAS VEGAS, NV 89146-9001
(702) 595-5437
Mailing address
11828 CALLE DE SOL DR, LAS VEGAS, NV 89138-4538
(949) 395-5471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2073
NV
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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