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Contact Information

WANDA J CHISCOLM, COTA/L
6351 N. FORT APACHE RD.
LAS VEGAS, NV89149
 Phone: 702-686-6469
 Fax: 971-206-5203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for WANDA J CHISCOLM · (Female)

NPI # 1285914515
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 08/17/2011
Last updated 08/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 1079
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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