Individual
NEDA MOKHTARIFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5188
(702) 733-8800
Mailing address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5121
(702) 733-8800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2156
NV
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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