Provider Demographics
NPI:1609475680
Name:NEAGOS, DENISA FLORIANA
Entity Type:Individual
Prefix:
First Name:DENISA
Middle Name:FLORIANA
Last Name:NEAGOS
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 1:4377 COMBS CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-9403
Mailing Address - Country:US
Mailing Address - Phone:775-303-6382
Mailing Address - Fax:
Practice Address - Street 1:4377 COMBS CANYON RD
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-9403
Practice Address - Country:US
Practice Address - Phone:775-303-6382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVOT-2087225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist