Alfonzo Moncayo COTA/L

NPI 1720371446 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1720371446
Gender Male
Enumeration Date 05/27/2011
Last Updated 05/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2075 E FLAMINGO RD
LAS VEGAS NV, 89119-5188, US
Phone (702) 369-7744
Fax
Business Location
2075 E FLAMINGO RD
LAS VEGAS NV, 89119-5188, US
Phone (702) 369-7744
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Nevada
License Number 1165
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According to our database, Mr. Alfonzo Moncayo COTA/L NPI is 1720371446, taxonomy code is 224Z00000X and license number is 1165, license state is located at Nevada. Alfonzo Moncayo COTA/L physically located at 2075 E Flamingo Rd, Las Vegas NV, 89119-5188. NPI Number Alfonzo Moncayo COTA/L has the Individual type.

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1720371446 NPI number is provided on an as is basis without warranty of any kind. 1720371446 is maintained by the National Plan & Provider Enumeration System. The contents of Alfonzo Moncayo COTA/L are for informational purposes only.