Healthcare Provider Details

I. General information

NPI: 1457875486
Provider Name (Legal Business Name): CHELSEA F LABOVE OTR/L, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 09/11/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6841 S. EASTERN AVE STE. 100
LAS VEGAS NV
89119
US

IV. Provider business mailing address

3566 SPOLETO AVE
LAS VEGAS NV
89141
US

V. Phone/Fax

Practice location:
  • Phone: 702-367-6015
  • Fax: 702-367-0614
Mailing address:
  • Phone: 586-738-4364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number118488
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: