Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Fakhreddine, OTR/L

Individual provider Occupational Therapist · NPI 1265933584

Evan Fakhreddine, OTR/L is an Occupational Therapist in Las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10472 Wellington Manor Ave
Las Vegas, NV 89129-4514
Phone: (301) 385-1784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1265933584
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

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