Provider Demographics
NPI:1588983746
Name:ABEGUNDE, FRANCES OLAJUMOKE (MED, OTR/L, CLT)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:OLAJUMOKE
Last Name:ABEGUNDE
Suffix:
Gender:F
Credentials:MED, OTR/L, CLT
Other - Prefix:
Other - First Name:JUMOKE
Other - Middle Name:
Other - Last Name:ABEGUNDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, OTR/L, CLT
Mailing Address - Street 1:8981 W SAHARA AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5897
Mailing Address - Country:US
Mailing Address - Phone:562-500-1201
Mailing Address - Fax:800-610-5973
Practice Address - Street 1:8981 W SAHARA AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5897
Practice Address - Country:US
Practice Address - Phone:562-500-1201
Practice Address - Fax:800-610-5973
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV09-0195225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588983746OtherNPI NUMBER