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NPI Code Detail

MEDICARE: LEAH KITAINIK OTR/L

MEDICARE: LEAH KITAINIK OTR/L
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
1225X00000XOccupational Therapist090064NV

General Provider Information

NPI Number : 1811140023
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH KITAINIK OTR/L
Provider Business Mailing Address
First Line : 2021 SUMMIT POINTE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7263
Country : US
Telephone Number : 702-997-5911
Fax Number :
Provider Business Practice Location Address
First Line : 6200 W OAKEY BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1103
Country : US
Telephone Number : 702-507-2731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2008
Last Update Date : 10/31/2008

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Directions to “ LEAH KITAINIK OTR/L” Practice Location

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