Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kondrad R Tan, MOT

Individual provider Occupational Therapist · NPI 1750860284

Kondrad R Tan, MOT is an Occupational Therapist in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2018
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Practice location Address checks out

4855 Blue Diamond Rd Ste 210
Las Vegas, NV 89139-7602
Phone: (725) 207-3770
Fax: (702) 505-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 181014 (NV)

Record details

NPI number1750860284
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT
Sole proprietorYes
NPI enumeratedAugust 6, 2018
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

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