Healthcare Provider Details

I. General information

NPI: 1972781557
Provider Name (Legal Business Name): MA. SOLEDAD B. MAGPANTAY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 MEDICAL PKWY
CARSON CITY NV
89703-4653
US

IV. Provider business mailing address

555 N ARLINGTON AVE
RENO NV
89503-4724
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-3040
  • Fax:
Mailing address:
  • Phone: 775-786-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number09-0106
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: