Individual
ADAM VANVALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8683 BRILLIANT STAR DR, LAS VEGAS, NV 89178-6503
(435) 862-0869
Mailing address
8683 BRILLIANT STAR DR, LAS VEGAS, NV 89178-6503
(435) 862-0869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12-7104
NV
Other
Enumeration date
01/15/2013
Last updated
01/17/2014
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