NPI 1447789888

Dustin Douglas

Practitioner Driver Las Vegas, NV

Practice location

Address: 50 N 21 St #139, Las Vegas, NV 89101
Phone: (702) 955-0912
Mailing address: 50 N 21st St APT 139, Las Vegas, NV 89101-5076

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Driving and Community Mobility Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224ZR0403X

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Registry record

NPI: 1447789888
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2017
Record last updated: 21 Jul 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.