Individual
ASHLEY WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 S RANCHO DR STE 100, LAS VEGAS, NV 89102
(702) 379-8602
Mailing address
2200 S RANCHO DR STE 100, LAS VEGAS, NV 89102-4410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10-7034
NV
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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