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Search › Nevada › 224Z00000X

Bounrattanapasong Phonhnaboth, COTA/L

NPI 1477000958 · on the registry since 2016

Practice

Address
6345 S Jones Blvd Ste 300
Las Vegas, NV 89118
Phone
(702) 515-4009
Fax
(702) 553-3438
Organisation at this address
Speakeasy Therapy Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
NV, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada