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NPI Code Detail

MEDICARE: MRS. KARMIN KATHLEEN O'NEILL DPT, MTC

MEDICARE: MRS. KARMIN KATHLEEN O'NEILL DPT, MTC
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
1225100000XPhysical Therapist1632NV

General Provider Information

NPI Number : 1376747238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARMIN KATHLEEN O'NEILL DPT, MTC
Provider Business Mailing Address
First Line : 8153 WHITE MILL CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-1457
Country : US
Telephone Number : 702-878-7678
Fax Number :
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-255-5018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. KARMIN KATHLEEN O'NEILL DPT, MTC” Practice Location

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