Individual
SANDY KUOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5984 FLY FISHER ST, LAS VEGAS, NV 89113-1721
(858) 357-4099
Mailing address
2787 WHITNEY ST, SAN DIEGO, CA 92111-5626
(858) 357-4099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2089
NV
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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