Mrs Mari Dean Balili Pace, OTR/L | |
6900 N Durango Dr, Las Vegas, NV 89149-4409 | |
(702) 835-9700 | |
Not Available |
Full Name | Mrs Mari Dean Balili Pace |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 6900 N Durango Dr, 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 |
---|---|---|---|
1396991246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0791 (Nevada) | Primary |
Provider Name | Select Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220401001852 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mari Dean Balili Pace, OTR/L 1875 Grovespring St, Las Vegas, NV 89135-1084 Ph: (702) 445-1285 | Mrs Mari Dean Balili Pace, OTR/L 6900 N Durango Dr, Las Vegas, NV 89149-4409 Ph: (702) 835-9700 |
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