Individual
KAREN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2075 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5188
(702) 866-2098
(702) 866-2062
Mailing address
1680 TURF DR, HENDERSON, NV 89002-9322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1199
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057898
NBCOT
—
Enumeration date
06/03/2011
Last updated
06/03/2011
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