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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHANEL WILLIS

Active Sole Proprietor

CHANEL WILLIS is a Occupational Therapy Assistant healthcare provider located in NV, Nevada. NPI 1821334384 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NV, NV

Registration Details

NPI Number
1821334384
Provider Type
Individual
Gender
Male
NPI Issued
Jan 2, 2013 (13.640997336708 yrs)
Last Updated
Jan 2, 2013
Sole Proprietor
Yes

Practice Information

Address
224 S. JONES LV NV
NV, NV, 89107
Browse NV providers · Browse ZIP 89107
Phone
7028221206
Fax
7028221124
Primary Specialty
Occupational Therapy Assistant
225400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.