Provider Demographics
NPI:1891775342
Name:SANTORO, PATRICK DAVIS (OT)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:DAVIS
Last Name:SANTORO
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7065 W ANN RD
Mailing Address - Street 2:130-407
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3865
Mailing Address - Country:US
Mailing Address - Phone:702-448-4200
Mailing Address - Fax:
Practice Address - Street 1:7065 W ANN RD
Practice Address - Street 2:130-407
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3865
Practice Address - Country:US
Practice Address - Phone:702-448-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0537225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist