NPI 1114296225
John Whalen
Practice location
- Address
- 4244 Kona Coast Way, Las Vegas, NV 89121
- Phone
- (724) 557-2474
- Mailing address
- 4244 Kona Coast Way, Las Vegas, NV 89121-4803
Registered specialties (2)
Occupational Therapy Assistant
Primary
Occupational Therapy Assistant
Registry record
- NPI
- 1114296225
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Dec 2011
- Record last updated
- 3 Aug 2018
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.