Individual
MR. ALFONZO MONCAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5188
(702) 369-7744
Mailing address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5188
(702) 369-7744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1165
NV
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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