Provider Demographics
NPI:1447628557
Name:CHRISTIAN, SILJA
Entity type:Individual
Prefix:
First Name:SILJA
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7122 BRIGHTON VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-7101
Mailing Address - Country:US
Mailing Address - Phone:716-380-2292
Mailing Address - Fax:
Practice Address - Street 1:6720 N HUALAPAI WAY STE 145
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1444
Practice Address - Country:US
Practice Address - Phone:716-380-2292
Practice Address - Fax:702-725-1118
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15-0600225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics