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NPI Code Detail

MEDICARE: JANE TORRANCE OTR/L

MEDICARE: JANE TORRANCE OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0101NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AA547505OTHERNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY,INC

General Provider Information

NPI Number : 1104119361
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE TORRANCE OTR/L
Provider Business Mailing Address
First Line : 2075 E FLAMINGO RD
Second Line : KINDRED @ DESERT SPRINGS -5TH FLOOR
City : LAS VEGAS
State : NV
Zip : 89119-5188
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2075 E FLAMINGO RD
Second Line : KINDRED @ DESERT SPRINGS -5TH FLOOR
City : LAS VEGAS
State : NV
Zip : 89119-5188
Country : US
Telephone Number : 702-866-2098
Fax Number : 702-866-2062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2011
Last Update Date : 05/20/2011

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