MEDICARE: DR. ASHLEY MARQUEZ OTD, 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
1	225X00000X	Occupational Therapist	OT-2380	NV

General Provider Information

NPI Number	:	1134750805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY MARQUEZ OTD, OTR/L

Provider Business Mailing Address
First Line	:	6166 N DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6166 N DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3912
Country	:	US
Telephone Number	:	725-223-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2020
Last Update Date	:	01/30/2020

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Directions to “ DR. ASHLEY MARQUEZ OTD, OTR/L” Practice Location

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