| NPI | 1104110840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN VAILLANCOURT Physical Therapist 775-235-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NV NV20101224552) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2024-06-18 |