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NPI Code Detail

MEDICARE: SYLVIE LYNN EDMONDSON OT

MEDICARE: SYLVIE LYNN EDMONDSON OT
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 Therapist0613NV
2225XH1200XHand Occupational Therapist0613

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 : 1881709020
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIE LYNN EDMONDSON OT
Provider Business Mailing Address
First Line : 4980 W SAHARA AVE STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3435
Country : US
Telephone Number : 702-820-5070
Fax Number : 702-945-0314
Provider Business Practice Location Address
First Line : 4980 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3402
Country : US
Telephone Number : 702-820-5070
Fax Number : 702-945-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 06/07/2025

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