| NPI | 1003090705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE B HAVILAND CEO/Physical Therapist 775-783-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1784) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2020-03-05 |