Individual provider · NPI-1

Levi Luke Manuel Abao

Occupational Therapist · Las Vegas, NV

NPI number1497523666
StatusActive
Last updated in NPPESDec 18, 2023

Details

NPI
1497523666
Entity type
Individual (NPI-1)
Name
Levi Luke Manuel Abao
Sex
Male
Sole proprietor
No
Enumeration date
Dec 18, 2023
Certification date
Dec 16, 2023
Last updated
Dec 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT-3372NVYes

Practice location

6048 S Durango Dr Ste 100
Las Vegas, NV 89113-1781

Phone 702-260-6238 · Fax 702-263-6530

Mailing address

9110 W Tropicana Ave Unit 287
Las Vegas, NV 89147-8254

Phone 925-639-4173

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