| NPI | 1124617352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY KESSNER Practice Administrator 775-384-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2025-06-12 |