Individual
LEA ALTEA WINNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 NICHOLS BLVD UNIT 251, SPARKS, NV 89431-5458
(916) 694-3641
Mailing address
202 NICHOLS BLVD UNIT 251, SPARKS, NV 89431-5458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4265
CA
224Z00000X
Occupational Therapy Assistant
Primary
OTA2595
NV
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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