Individual
ALINA FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2105 MOTMOT CT, NORTH LAS VEGAS, NV 89084-2844
(702) 610-7031
Mailing address
2105 MOTMOT CT, NORTH LAS VEGAS, NV 89084-2844
(702) 610-7031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3370
NV
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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