Provider Demographics
NPI:1124757901
Name:ANDUHA, VERONICA Y K K (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:Y K K
Last Name:ANDUHA
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 PICKLED PEPPER PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5510
Mailing Address - Country:US
Mailing Address - Phone:909-838-6280
Mailing Address - Fax:
Practice Address - Street 1:1180 MILITARY TRIBUTE PL BLDG F
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8801
Practice Address - Country:US
Practice Address - Phone:702-799-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVOT-2680225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist