Healthcare Provider Details

I. General information

NPI: 1720940240
Provider Name (Legal Business Name): MEGAN SENGCO HUGO COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 PARK RUN DR
LAS VEGAS NV
89144-4575
US

IV. Provider business mailing address

4033 MANSION HALL CT
LAS VEGAS NV
89129-3666
US

V. Phone/Fax

Practice location:
  • Phone: 702-515-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA-3695
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: