Provider Demographics
NPI:1003022633
Name:MARQUEZ, SHEILA ACOSTA (OTR)
Entity type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:ACOSTA
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:SHEILA
Other - Middle Name:ACOSTA
Other - Last Name:MARQUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:2600 S TOWN CENTER DR
Mailing Address - Street 2:APT. 1047
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2064
Mailing Address - Country:US
Mailing Address - Phone:775-220-5792
Mailing Address - Fax:
Practice Address - Street 1:4275 BURNHAM AVE
Practice Address - Street 2:STE. 225 DESERT SPRINGS THERAPY CLINIC
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5488
Practice Address - Country:US
Practice Address - Phone:702-380-1060
Practice Address - Fax:702-380-1081
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0838225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist