Provider Demographics
NPI:1316597289
Name:HILBISH, SAMANTHA (OCCUPATIONAL THERAPY)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:HILBISH
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 W CHEYENNE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8932
Mailing Address - Country:US
Mailing Address - Phone:702-660-2694
Mailing Address - Fax:702-750-1372
Practice Address - Street 1:1000 NEVADA WAY STE 205
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-1829
Practice Address - Country:US
Practice Address - Phone:702-246-2787
Practice Address - Fax:702-750-1372
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVOT-2363225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist