MEDICARE: MRS. AMY MARIE LAPRES OTRL

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	225XP0200X	Pediatric Occupational Therapist	0850	NV

General Provider Information

NPI Number	:	1811045065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY MARIE LAPRES OTRL

Provider Business Mailing Address
First Line	:	724 CANFIELD POINT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-7247
Country	:	US
Telephone Number	:	702-617-4369
Fax Number	:

Provider Business Practice Location Address
First Line	:	1181 S BUFFALO DR
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8311
Country	:	US
Telephone Number	:	702-360-1137
Fax Number	:

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

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	07/08/2007

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