Healthcare Provider Details

I. General information

NPI: 1629467832
Provider Name (Legal Business Name): CARA KLAUSNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2015
Last Update Date: 01/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 W CHARLESTON BLVD
LAS VEGAS NV
89102-2223
US

IV. Provider business mailing address

7924 CASTELLON CT
LAS VEGAS NV
89128-2805
US

V. Phone/Fax

Practice location:
  • Phone: 702-386-7980
  • Fax:
Mailing address:
  • Phone: 702-592-7820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number0639
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: