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NPI Code Detail

MEDICARE: SANDY Y YESNICK ORTL

MEDICARE:   SANDY Y YESNICK  ORTL
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 Therapist0563NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851371256
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDY Y YESNICK ORTL
Provider Business Mailing Address
First Line : 9191 W FLAMINGO RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6859
Country : US
Telephone Number : 702-966-2020
Fax Number : 702-966-2022
Provider Business Practice Location Address
First Line : 9191 W FLAMINGO RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6859
Country : US
Telephone Number : 702-966-2020
Fax Number : 702-966-2022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 10/12/2017

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Directions to “ SANDY Y YESNICK ORTL” Practice Location

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