Individual
KYLEE RAE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7816 RACHELIS ST, NORTH LAS VEGAS, NV 89084-5094
(702) 592-9176
Mailing address
7816 RACHELIS ST, NORTH LAS VEGAS, NV 89084-5094
(702) 592-9176
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
03/03/2023
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