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NPI Code Detail

MEDICARE: MS. LAURA COX MOTRL

MEDICARE:  MS. LAURA  COX  MOTRL
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 Therapist0555NV

General Provider Information

NPI Number : 1710191648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA COX MOTRL
Provider Business Mailing Address
First Line : 6501 W CHARLESTON BLVD
Second Line : APT. 111
City : LAS VEGAS
State : NV
Zip : 89146-1006
Country : US
Telephone Number : 702-437-0294
Fax Number :
Provider Business Practice Location Address
First Line : 2625 E SAINT LOUIS AVE
Second Line : SEIGLE DIAGNOSTIC CENTER
City : LAS VEGAS
State : NV
Zip : 89104-4200
Country : US
Telephone Number : 702-855-6903
Fax Number : 702-799-1502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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Directions to “ MS. LAURA COX MOTRL” Practice Location

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