Individual
MISS ALYSE LYSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2820 W CHARLESTON BLVD STE 1, LAS VEGAS, NV 89102-1942
(725) 726-7847
Mailing address
10785 W TWAIN AVE STE 250, LAS VEGAS, NV 89135-3068
(725) 726-7847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2150
NV
Other
Enumeration date
11/12/2018
Last updated
12/08/2021
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