| NPI | 1073839536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GAY MANGALIAG LIM President 702-354-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1689) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |