| Sico Ly, OTR/L | |
|
9260 W Sunset Rd Ste 204, Las Vegas, NV 89148-4903 | |
| (877) 214-5160 | |
| Not Available |
| Full Name | Sico Ly |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 9260 W Sunset Rd Ste 204, 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 |
|---|---|---|---|
| 1235759747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Aurora Pediatric Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780331686 PECOS PAC ID: 6305204389 Enrollment ID: O20230623000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Sico Ly, OTR/L 1341 Jewelstone Cir, Henderson, NV 89012-4902 Ph: () - | Sico Ly, OTR/L 9260 W Sunset Rd Ste 204, Las Vegas, NV 89148-4903 Ph: (877) 214-5160 |
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