| NPI | 1043091473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ZAMORA Owner Provider 702-835-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |