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NPI Code Detail

MEDICARE: KAINOA MARPLE OTD, OTR/L

MEDICARE: KAINOA MARPLE 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
1225X00000XOccupational TherapistOT-3523NV

General Provider Information

NPI Number : 1215768650
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAINOA MARPLE OTD, OTR/L
Provider Business Mailing Address
First Line : 8501 W UNIVERSITY AVE UNIT 1122
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6167
Country : US
Telephone Number : 808-778-6574
Fax Number :
Provider Business Practice Location Address
First Line : 2930 SIENA HEIGHTS DR APT 1314
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3871
Country : US
Telephone Number : 725-726-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ KAINOA MARPLE OTD, OTR/L” Practice Location

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