Individual
MARY MARGUERITE VAN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 UPLAND CT, CARSON CITY, NV 89703-7524
(775) 885-7715
Mailing address
3160 UPLAND CT, CARSON CITY, NV 89703-7524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1025
NV
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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