Healthcare Provider Details

I. General information

NPI: 1447485404
Provider Name (Legal Business Name): CYNTHIA HARRIMAN COT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CYNTHIA HUEY

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9175 W OQUENDO RD
LAS VEGAS NV
89148
US

IV. Provider business mailing address

156 WINDSOR LN
PELHAM AL
35124
US

V. Phone/Fax

Practice location:
  • Phone: 708-252-7342
  • Fax: 702-795-5828
Mailing address:
  • Phone: 404-788-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1227
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: