NPI 1124747597

Angel Colleen Gonzalez, RECRATIONALTHERAPY

Practitioner Recreation Therapist Las Vegas, NV

Practice location

Address: 2595 S Jones Blvd Suite 2f, Las Vegas, NV 89146-0000
Phone: (702) 806-9143
Mailing address: 7345 S Durango Dr, Las Vegas, NV 89113-3653

Registered specialties (4)

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1124747597
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2022
Record last updated: 26 Aug 2022

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.