Individual
STEPHEN DECENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6045 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5565
(702) 948-5095
Mailing address
155 SAMOSET CT, LAS VEGAS, NV 89148-4444
(415) 515-2257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-1435
NV
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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