Individual
ANDREA GUADALUPE ALCANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 S RAINBOW BLVD STE 4000, LAS VEGAS, NV 89118-2506
(702) 292-2596
(702) 441-7109
Mailing address
5940 S RAINBOW BLVD STE 4000, LAS VEGAS, NV 89118-2506
(702) 292-2596
(702) 441-7109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3087
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-3087
STATE OF NEVADA BOARD OF OCCUPATIONAL THERAPY
NV
Enumeration date
09/20/2022
Last updated
09/20/2022
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