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Obelem Amanda Marcus

Occupational Therapy Assistant in Las Vegas, NV. Individual provider (NPI-1).

NPI number1699416909
StatusActive
Last updated in NPPESApr 2, 2022

Details

NPI
1699416909
Entity type
Individual (NPI-1)
Name
Mrs. Obelem Amanda Marcus
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2022
Certification date
Apr 2, 2022
Last updated
Apr 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA-2786NVYes

Practice location

5538 Duncan Dr
Las Vegas, NV 89130-2812

Phone 702-645-2606

Mailing address

10138 Palazzo Marcelli Ct
Las Vegas, NV 89147-8567

Phone 706-326-1479

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