Provider Demographics
NPI:1215588249
Name:GUINTO, CAITLYNN ROSE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CAITLYNN
Middle Name:ROSE
Last Name:GUINTO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4368 MEADOWLARK WING WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2623
Mailing Address - Country:US
Mailing Address - Phone:702-468-5904
Mailing Address - Fax:
Practice Address - Street 1:5650 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1808
Practice Address - Country:US
Practice Address - Phone:702-470-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2314225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist