Individual
ROY MATTHEW GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2800 E DESERT INN RD STE 200, LAS VEGAS, NV 89121-3632
(702) 294-7499
(702) 735-0097
Mailing address
2800 E DESERT INN RD STE 200, LAS VEGAS, NV 89121-3632
(702) 294-7499
(702) 735-0097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108506
IA
225X00000X
Occupational Therapist
OT-2190
NV
Other
Enumeration date
04/22/2019
Last updated
12/22/2021
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