Individual
TIA M DELLOIACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2221 DILLON RD, CLOVIS, NM 88101-9454
(702) 338-8597
Mailing address
4047 LANCASTER FALLS AVE, NORTH LAS VEGAS, NV 89085-4435
(662) 312-7540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11-0170
NV
225X00000X
Occupational Therapist
Primary
3055
NM
Other
Enumeration date
04/12/2012
Last updated
08/19/2020
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