MEDICARE: DR. ABIGAIL ELIZABETH LAVERDURE OTD, 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
1	225X00000X	Occupational Therapist	538474	OR

General Provider Information

NPI Number	:	1730038001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL ELIZABETH LAVERDURE OTD, OTR/L

Provider Business Mailing Address
First Line	:	10701 S EASTERN AVE APT 2223
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2999
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3455 PECOS-MCLEOD INTERCONNECT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121
Country	:	US
Telephone Number	:	702-790-6400
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ DR. ABIGAIL ELIZABETH LAVERDURE OTD, OTR/L” Practice Location

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