Individual
SANDRA FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1403 GRAYSTONE CANYON AVE, LAS VEGAS, NV 89183-6306
(702) 768-0368
Mailing address
1403 GRAYSTONE CANYON AVE, LAS VEGAS, NV 89183-6306
(702) 768-0368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0036
NV
225X00000X
Occupational Therapist
10111
CA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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