Angelina Abou Shackr Aljot

Individual provider Active NPI Rehabilitation Practitioner · Las Vegas, NV

NPI 1427804459 · NPPES record last updated Mar 5, 2025

Key facts

NPI
1427804459
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
3554 Great Bear St
Las Vegas, NV 89147-7721
Phone
(725) 300-5059
NPI assigned
Apr 29, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

3554 Great Bear St
Las Vegas, NV 89147-7721

Mailing address

3554 Great Bear St
Las Vegas, NV 89147-7721

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Rehabilitation Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.