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NPI Code Detail

MEDICARE: BRITTANY CONOVER MOT, OTR/L

MEDICARE: BRITTANY CONOVER MOT, 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 Therapist18721CA
2225X00000XOccupational Therapist17-0918NV

General Provider Information

NPI Number : 1568932010
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY CONOVER MOT, OTR/L
Provider Business Mailing Address
First Line : 7425 W AZURE DR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-4425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7425 W AZURE DR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-4425
Country : US
Telephone Number : 702-515-4009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2018
Last Update Date : 12/16/2018

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Directions to “ BRITTANY CONOVER MOT, OTR/L” Practice Location

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