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NPI Code Detail

MEDICARE: TRISHA PEARSON

MEDICARE: TRISHA PEARSON
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 Therapist11-0130NV

General Provider Information

NPI Number : 1518247246
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA PEARSON
Provider Business Mailing Address
First Line : 366 E MESA VERDE LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 366 E MESA VERDE LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1812
Country : US
Telephone Number : 702-227-4477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2011
Last Update Date : 08/25/2011

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Directions to “ TRISHA PEARSON ” Practice Location

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