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NPI Code Detail

MEDICARE: WILLIAM MCCOMBS OTR/L

MEDICARE:   WILLIAM  MCCOMBS  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
1225XH1200XHand Occupational Therapist13-0383NV

General Provider Information

NPI Number : 1972975787
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM MCCOMBS OTR/L
Provider Business Mailing Address
First Line : 305 MCHENRY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-4128
Country : US
Telephone Number : 865-360-6665
Fax Number :
Provider Business Practice Location Address
First Line : 305 MCHENRY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-4128
Country : US
Telephone Number : 865-360-6665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 05/08/2019

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Directions to “ WILLIAM MCCOMBS OTR/L” Practice Location

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