Individual
SUSAN KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5538 DUNCAN DR, LAS VEGAS, NV 89130-2812
(702) 395-5034
Mailing address
6290 APPLE ORCHARD DR, LAS VEGAS, NV 89142-0904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15-0619
NV
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880107500
—
NV
Enumeration date
12/17/2018
Last updated
03/27/2019
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