Healthcare Provider Details

I. General information

NPI: 1043778566
Provider Name (Legal Business Name): MAGGIE LYNN STEEL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7621 W CHARLESTON BLVD UNIT 101
LAS VEGAS NV
89117
US

IV. Provider business mailing address

8321 W SAHARA AVE APT 2025
LAS VEGAS NV
89117-1884
US

V. Phone/Fax

Practice location:
  • Phone: 702-396-0101
  • Fax:
Mailing address:
  • Phone: 412-266-0286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2098
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: