MEDICARE: MRS. ENNAH CABADING

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-3406	NV

General Provider Information

NPI Number	:	1306792718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ENNAH CABADING

Provider Business Mailing Address
First Line	:	3663 W CACTUS AVE UNIT 1092
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8882
Country	:	US
Telephone Number	:	702-701-2962
Fax Number	:

Provider Business Practice Location Address
First Line	:	3663 W CACTUS AVE UNIT 1092
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8882
Country	:	US
Telephone Number	:	702-701-2962
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ MRS. ENNAH CABADING ” Practice Location

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