MEDICARE: ABIGAIL LEIGH BACHMAN OTD

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		NV

General Provider Information

NPI Number	:	1871467738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL LEIGH BACHMAN OTD

Provider Business Mailing Address
First Line	:	9164 AQUEDUCT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-7442
Country	:	US
Telephone Number	:	717-747-4174
Fax Number	:

Provider Business Practice Location Address
First Line	:	9508 MOUNTAINAIR AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6219
Country	:	US
Telephone Number	:	702-271-0661
Fax Number	:

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

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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