Provider Demographics
NPI:1417668781
Name:TRABADO, JOY SARATE
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:SARATE
Last Name:TRABADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8081 RAMS COLLIDE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-1210
Mailing Address - Country:US
Mailing Address - Phone:347-781-2618
Mailing Address - Fax:
Practice Address - Street 1:8081 RAMS COLLIDE ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-1210
Practice Address - Country:US
Practice Address - Phone:347-781-2618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVOTA-2980224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant