Individual
JACKIE HINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E CAPOVILLA AVE STE 105, LAS VEGAS, NV 89119-4332
(702) 260-7329
Mailing address
PO BOX 33248, RENO, NV 89533-3248
(775) 741-4788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0047
NV
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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