Individual
FELIPE MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5538 DUNCAN DR, LAS VEGAS, NV 89130-2812
(702) 645-2606
Mailing address
3450 N HUALAPAI WAY, 2057, LAS VEGAS, NV 89129-8049
(720) 934-1647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16-1321
NV
Other
Enumeration date
06/22/2016
Last updated
04/28/2017
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