Healthcare Provider Details

I. General information

NPI: 1457971913
Provider Name (Legal Business Name): OLIVIA DAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 E CACTUS AVE
LAS VEGAS NV
89183-7714
US

IV. Provider business mailing address

3161 SUNRIDGE HEIGHTS PKWY UNIT 2117
HENDERSON NV
89052-5094
US

V. Phone/Fax

Practice location:
  • Phone: 702-790-6300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: