| Mrs Kelly Jean Squire-hamblet, MSOTR/L | |
|
5540 Azuza Ave, Las Vegas, NV 89122-7121 | |
| (702) 348-9076 | |
| Not Available |
| Full Name | Mrs Kelly Jean Squire-hamblet |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5540 Azuza Ave, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003249046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 13-0346 (Nevada) | Primary |
| Provider Name | Waterfall Clinic Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Jean Squire-hamblet, MSOTR/L 5540 Azuza Ave, Las Vegas, NV 89122-7121 Ph: (702) 348-9076 | Mrs Kelly Jean Squire-hamblet, MSOTR/L 5540 Azuza Ave, Las Vegas, NV 89122-7121 Ph: (702) 348-9076 |
Miss Sheila Acosta Marquez, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4275 Burnham Ave, Ste. 225 Desert Springs Therapy Clinic, Las Vegas, NV 89119 Phone: 702-380-1060 Fax: 702-380-1081 | |
Farah Michelle Westreich, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8000 Spring Mountain Rd, 2116, Las Vegas, NV 89117 Phone: 954-253-3739 | |
Alicia Marie Schwarz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 E Windmill Ln, #202, Las Vegas, NV 89123 Phone: 702-434-6920 Fax: 702-361-8596 | |
Geoffrey Shih, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6161 W Charleston Blvd, Las Vegas, NV 89146 Phone: 702-468-8311 | |
Autism & Behavioral Consulting Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7560 W Sahara Ave Ste 107, Las Vegas, NV 89117 Phone: 702-476-2633 Fax: 702-979-1028 | |
Mrs. Jennifer C Travers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3030 S Jones Blvd, Suite 105, Las Vegas, NV 89146 Phone: 702-360-1137 Fax: 702-341-1511 |