Whalio Doctors

NPI 1053709667

Mason Stanley

Practitioner Occupational Therapy Assistant Las Vegas, NV

Practice location

Address
2035 W Charleston Blvd, Las Vegas, NV 89102-2223
Phone
(702) 386-7980
Mailing address
9550 W Sahara Ave APT 1088, Las Vegas, NV 89117-5373

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 13-1182 (NV)

Registry record

NPI
1053709667
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jan 2015
Record last updated
5 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.