| NPI | 1124355243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ANN GARRETT Managing Member 702-610-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2010-10-26 |