Jamie Rose De Guzman Angeles, OTR/L
Individual provider Active NPI Occupational Therapist · Henderson, NV
NPI 1366022329 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1366022329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2686 (NV)
- Practice address
- 100 Delmar Gardens Dr
Henderson, NV 89074-3216 - Phone
- (702) 361-6111
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2686 | NV | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2686 | NV | Yes |
Addresses
Primary practice location
100 Delmar Gardens Dr
Henderson, NV 89074-3216
Mailing address
5668 Bishop Flowers St
Las Vegas, NV 89130-1101
Phone (702) 374-4562
Other providers in Henderson, NV
- Kaitlin Andrewjeski
- Donna Andrews
- Rachel Marie Andrus
- Rae-Anne Anes-Pavao
- Allen Robert Anes
- Tamara Angeles
- Nicole Angell
- Barbara J. Angelo
- Stanislava Angelova
- Angels Assigned to Assist LLC
All providers in Henderson, NV · Occupational Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.