Most Relevant Information
Provider Data
| NPI Number: | 1003368812 |
| Provider Name: | KAYLA COSGROVE OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OC014633 |
Most Important Dates
| Enumeration Date: | 10/27/2016 |
| Last Updated: | 06/19/2023 |
Provider Practice Location
2850 W HORIZON RIDGE PKWY STE 320
HENDERSON
NV
890524395
Practice Location Phone/Fax
| Phone: | 7025644116 |
| Fax: | 7029322403 |
Provider Mailing Location
2850 W HORIZON RIDGE PKWY STE 320
HENDERSON
NV
890524395
Provider Mailing Phone/Fax
| Phone: | 7025644116 |
| Fax: | 7029322403 |