Individual
ALLY MANATAD CAGAANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2870 S MARYLAND PKWY., SUITE 200, LAS VEGAS, NV 89109-1580
(702) 380-1060
(702) 380-1081
Mailing address
2870 S MARYLAND PKWY., SUITE 230, LAS VEGAS, NV 89109-1548
(702) 893-3333
(702) 893-0960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0836
NV
Other
Enumeration date
07/23/2008
Last updated
03/27/2014
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