Camille Castaneda Andras, MOT

Individual provider Active NPI Occupational Therapist · Sparks, NV

NPI 1487872453 · NPPES record last updated Mar 9, 2011

Key facts

NPI
1487872453
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
105022 (NV)
Practice address
1025 Roberta LN
Sparks, NV 89431-1893
Phone
(775) 825-4744
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
105022NVMDOccupational Therapist
1074477ORMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105022 NV Yes
Pediatric Occupational Therapist 225XP0200X 1074477 OR

Addresses

Primary practice location

1025 Roberta LN
Sparks, NV 89431-1893

Mailing address

8482 Cutthroat Avenue
Box 853
Kings Beach, CA 96143
Phone (541) 556-9328

Other providers in Sparks, NV

All providers in Sparks, NV · Occupational Therapist in Nevada

Sources for this page

Verify at the official NPI Registry.