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Organization

THE SELF-CARE OT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA KETRON CUSANO OTR (OCCUPATIONAL THERAPIST)
(276) 275-3933
Entity
Organization

Contact information

Practice address
9643 PEGGY PUBLOW AVE, LAS VEGAS, NV 89143-1294
(276) 275-3933
Mailing address
9643 PEGGY PUBLOW AVE, LAS VEGAS, NV 89143-1294
(276) 275-3933

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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