| NPI | 1023558426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL RANTISSI Owner 702-896-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1735) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1719) |
| 225X00000X Occupational Therapist (Licence: NV 0662) | |
| 225X00000X Occupational Therapist (Licence: NV 0663) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |