Individual
MS. MOLLY BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4894 W LONE MOUNTAIN RD # 143, LAS VEGAS, NV 89130-2239
(702) 341-0402
Mailing address
9216 BLACK SLATE ST, LAS VEGAS, NV 89123-2971
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0792
NV
Other
Enumeration date
04/02/2007
Last updated
06/04/2008
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