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Individual

MORGAN TAYLOR VAN AUSDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
1365 MEDICAL PKWY, CARSON CITY, NV 89703-4653
(775) 786-3040
(775) 788-5254
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-1887

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2505
HI
225X00000X
Occupational Therapist
Primary
3180
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16510196
CAQH
05
250038640
NV
Enumeration date
07/25/2024
Last updated
06/05/2025
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