NPI | 1083184691 |
---|---|
Doing Business As | ACTIVE RX LAS VEGAS |
Entity Type | Organization |
Authorized Contact | FRANCHESTA MARBURY-HAMMONDS Owner 702-982-0079 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2018-11-27 |
Last Update Date | 2018-11-27 |