Female

Ifeoma Odili COTA/L

Occupational Therapy Assistant in Las Vegas, NV(View on Map)

Full Name

Ifeoma Odili COTA/L

NPI Number

1346710498

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/03/2018

Specialties

(Taxonomies)

Code

224Z00000X

Primary Taxonomy

Yes

Licenses

State

Nevada

License Number

OTA-2154

Contact
Information

Purpose

Mailing
Location

Address

7640 TENDER TASSELS ST
6351 N FORT APACHE RD

City

Las Vegas
Las Vegas

State

NV
NV

Postal Code

89149-0447
89149-2300

Country

US
US

Telephone Number

(702) 487-1984
(702) 515-3000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/17/2019

Provider Address

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