IndividualActive
Asia Suriyachottakul Bouddhara
NPI 1689494023 · Occupational Therapist · Las Vegas, NV
Provider details
- NPI number
- 1689494023
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
Phone: (702) 734-2732
Fax: (702) 737-1453
Approximate (ZIP-level) locationGet directions
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Registry dates
- Enumerated
- 2024-10-11
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.