Healthcare Provider Details

I. General information

NPI: 1487983441
Provider Name (Legal Business Name): CYNTHIA D JOCSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 POINT CABRILLO CT
LAS VEGAS NV
89113-3082
US

IV. Provider business mailing address

7001 POINT CABRILLO CT
LAS VEGAS NV
89113-3082
US

V. Phone/Fax

Practice location:
  • Phone: 702-241-7830
  • Fax: 866-389-2647
Mailing address:
  • Phone: 702-241-7830
  • Fax: 866-389-2647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number0790
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number0790
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number0790
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number0790
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0790
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: