MEDICARE: MARGARET BOASBERG OT

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

General Provider Information

NPI Number	:	1184964751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET BOASBERG OT

Provider Business Mailing Address
First Line	:	7301 PEAK DR
Second Line	:	#150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9037
Country	:	US
Telephone Number	:	702-256-9738
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 PEAK DR
Second Line	:	#101
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9037
Country	:	US
Telephone Number	:	702-940-3000
Fax Number	:	702-904-3004

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

Provider Enumeration Date	:	02/19/2013
Last Update Date	:	02/19/2013

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