Healthcare Provider Details

I. General information

NPI: 1467035113
Provider Name (Legal Business Name): MING CHENG OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9321 W SUNSET RD
LAS VEGAS NV
89148-4845
US

IV. Provider business mailing address

9321 W SUNSET RD
LAS VEGAS NV
89148-4845
US

V. Phone/Fax

Practice location:
  • Phone: 702-216-9304
  • Fax: 702-216-9303
Mailing address:
  • Phone: 702-216-9304
  • Fax: 702-216-9303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-3592
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: