Individual
KEVIN A SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4855 BLUE DIAMOND RD STE 210, LAS VEGAS, NV 89139-7602
(725) 207-3770
Mailing address
4855 BLUE DIAMOND RD STE 210, LAS VEGAS, NV 89139-7602
(725) 207-3770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13-0387
NV
225X00000X
Occupational Therapist
4987
AZ
225X00000X
Occupational Therapist
5497
CA
Other
Enumeration date
06/22/2006
Last updated
12/20/2023
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