Individual
MS. DEBRA MICHNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(702) 360-1137
(702) 341-1511
Mailing address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(702) 360-1137
(702) 341-1511
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0157
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402134
—
NV
Enumeration date
01/17/2007
Last updated
07/30/2009
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