MEDICARE: OLIVIA DAO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1457971913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA DAO

Provider Business Mailing Address
First Line	:	3161 SUNRIDGE HEIGHTS PKWY UNIT 2117
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5094
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1285 E CACTUS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7714
Country	:	US
Telephone Number	:	702-790-6300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2020
Last Update Date	:	04/24/2020

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Directions to “ OLIVIA DAO ” Practice Location

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